Organization
UACHEALTHSERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRIETTA ANAELE (SOLE MEMBER)
(832) 382-5205
Entity
Organization
Contact information
Practice address
3707 E SOUTHERN AVE, MESA, AZ 85206-2569
(832) 382-5205
Mailing address
3707 E SOUTHERN AVE, MESA, AZ 85206-2569
(832) 382-5205
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127231
—
AZ
Enumeration date
10/16/2023
Last updated
10/16/2023
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