Organization
WEST PHOENIX COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATILDA BOACHIE PMHNP (NURSE PRACTITIONER)
(860) 967-2388
Entity
Organization
Contact information
Practice address
4525 W INDIAN SCHOOL RD, PHOENIX, AZ 85031-2820
(623) 204-5522
Mailing address
4525 W INDIAN SCHOOL RD, PHOENIX, AZ 85031-2820
(860) 967-2388
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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