Organization
ANEWAY COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA BENITEZ MOORE MED (ADMINISTRATOR)
(928) 783-1505
Entity
Organization
Contact information
Practice address
3795 W 22ND LN STE 14, YUMA, AZ 85364-9266
(928) 783-1505
Mailing address
3795 W 22ND LN STE 14, YUMA, AZ 85364-9266
(928) 783-1505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-4122
AZ
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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