Organization
MAX BEHAVIORAL HEALTH OUTPATIENT
Active
Other names
MAX BEHAVIORAL HEALTH OUTPATIENT
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE BASIL MASEVERIYO (MANAGER)
(331) 803-0822
Entity
Organization
Contact information
Practice address
12026 S 44TH ST, PHOENIX, AZ 85044-2432
(331) 803-0822
Mailing address
12026 S 44TH ST, PHOENIX, AZ 85044-2432
(331) 803-0822
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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