Organization
PATULLA BEHAVIORAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYESHA BERRY (OWNER)
(702) 716-9588
Entity
Organization
Contact information
Practice address
48 W TAMARISK ST # 6, PHOENIX, AZ 85041-2423
(702) 716-9588
Mailing address
48 W TAMARISK ST # 6, PHOENIX, AZ 85041-2423
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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