Organization
PHOENIX NEUROLOGICAL INSTITUTE INC
Active
Other names
Phoenician Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAM AHLAWAT (COO)
(480) 444-7447
Entity
Organization
Contact information
Practice address
606 N COUNTRY CLUB DR STE 4, MESA, AZ 85201-5700
(480) 444-7472
Mailing address
1343 N ALMA SCHOOL RD STE 160, CHANDLER, AZ 85224-5901
(480) 444-7472
(480) 912-7910
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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