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Organization

ENCOURAGE EMPOWERMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE GENCO LPC (EXECUTIVE DIRECTOR)
(602) 253-8488
Entity
Organization

Contact information

Practice address
1819 S DOBSON RD STE 101, MESA, AZ 85202-5656
(480) 467-2470
(480) 820-2770
Mailing address
1819 S DOBSON RD STE 101, MESA, AZ 85202-5656
(480) 467-2470
(480) 820-2770

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
970566
AZ
Enumeration date
05/02/2007
Last updated
09/18/2024
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