Organization
EDIT BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITNEY LAVERGNE (OWNER)
(909) 956-0223
Entity
Organization
Contact information
Practice address
813 S PARKER PL, CASA GRANDE, AZ 85122-6834
(702) 332-1399
Mailing address
7339 E WILLIAMS DR UNIT 26048, SCOTTSDALE, AZ 85255-9998
(909) 956-0223
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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