Organization
ADSI MENTORS BEHAVIORAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROWENA ERICKSON (ONWER)
(602) 820-8168
Entity
Organization
Contact information
Practice address
1717 W NORTHERN AVE STE 105, PHOENIX, AZ 85021-5400
(602) 820-8168
Mailing address
1717 W NORTHERN AVE STE 105, PHOENIX, AZ 85021-5400
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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