Organization
GLENEAGLE MENTAL HEALTH AGENCIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN WILLIAMS (CLINICAL DIRECTOR)
(480) 988-9929
Entity
Organization
Contact information
Practice address
20348 E WARNER RD, MESA, AZ 85212-9655
(480) 988-9929
(480) 279-3828
Mailing address
20348 E WARNER RD, MESA, AZ 85212-9655
(480) 988-9929
(480) 279-3828
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
BH 3402
AZ
261QR0800X
Recovery Care Clinic/Center
BH 3402
AZ
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH 3402
AZ
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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