Organization
HEARTS OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIS DICKSON (CO-FOUNDER/GEN PART)
(480) 984-1795
Entity
Organization
Contact information
Practice address
2308 E BEVERLY LN, PHOENIX, AZ 85022-2915
(480) 984-1795
(480) 984-1795
Mailing address
10904 E SEBRING AVE, MESA, AZ 85212-5229
(480) 399-3727
(480) 984-1795
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
04/20/2023
Last updated
07/24/2024
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