Organization
PRISM COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY S CAMPBELL (CEO)
(480) 825-0170
Entity
Organization
Contact information
Practice address
21258 E RITTENHOUSE RD STE 109, QUEEN CREEK, AZ 85142-9340
(480) 825-0170
Mailing address
21258 E RITTENHOUSE RD STE 109, QUEEN CREEK, AZ 85142-9340
(480) 825-0170
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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