Organization
DENOVA COLLABORATIVE HEALTH, LLC
Active
Other names
Denova Collaborative Health, LLC, Bayless Healthcare Group
Organization subpart
No
Provider details
NPI number
Authorized official
GRAHAM JOHNSON (CEO)
(602) 230-7373
Entity
Organization
Contact information
Practice address
77 E COLUMBUS AVE, SUITE 210, PHOENIX, AZ 85012-2348
(602) 230-7373
(602) 761-2537
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH4823
AZ
Other
Enumeration date
03/14/2016
Last updated
10/23/2023
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