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Organization

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

Active
Other names
Valleywise CHC - Mesa Behavioral Health Specialty Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
CLAIRE AGNEW (CFO)
(602) 344-8428
Entity
Organization

Contact information

Practice address
950 E MAIN ST, MESA, AZ 85203-8820
(602) 655-6260
Mailing address
PO BOX 29670, PHOENIX, AZ 85038-9670
(602) 344-8178
(602) 344-8122

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
H3673
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020107
AZ
Enumeration date
12/13/2017
Last updated
10/08/2024
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