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Organization
DEER VALLEY TREATMENT CENTER LLC
Active
Organization
DEER VALLEY TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MOSHIRI (MANAGER)
(602) 441-3573
Entity
Organization
Contact information
Practice address
2340 W PARKSIDE LN STE H107, PHOENIX, AZ 85027-1274
(602) 441-3573
Mailing address
2735 W UNION HILLS DR STE 101, PHOENIX, AZ 85027-5033
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/23/2020
Last updated
02/24/2022
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