Organization
STRATUM MENTAL HEALTH OF ARIZONA INC
Active
Organization
STRATUM MENTAL HEALTH OF ARIZONA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM ORLANDO GREYSON (OWNER)
(855) 578-7288
Entity
Organization
Contact information
Practice address
3104 E CAMELBACK RD, #2031, PHOENIX, AZ 85016-4502
(855) 578-7288
(888) 741-7967
Mailing address
40335 WINCHESTER RD # E221, TEMECULA, CA 92591-5500
(855) 578-7288
(888) 741-7967
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
02/02/2016
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