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Organization
SHALOM INTEGRATED BEHAVIORAL CLINIC LLC
Active
Organization
SHALOM INTEGRATED BEHAVIORAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BARIELUP NYONE (ADMINISTRATIVE OFFICER)
(520) 304-8856
Entity
Organization
Contact information
Practice address
540 W IRON AVE STE 201-204, MESA, AZ 85210-6025
(520) 304-8856
(480) 582-6043
Mailing address
540 W IRON AVE STE 201-204, MESA, AZ 85210-6025
(520) 304-8856
(480) 582-6043
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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