Organization
INSPIRE LIFE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN STARK (SR REVENUE CYCLE MANAGEMENT DIRECTO)
(317) 225-0489
Entity
Organization
Contact information
Practice address
1815 SW MARLOW AVE, PORTLAND, OR 97225-5185
(623) 326-0632
Mailing address
10017 N 57TH DR, GLENDALE, AZ 85302-1328
(623) 326-0632
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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