Organization
AGAVE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY IRWIN NP (OWNER)
(520) 603-8447
Entity
Organization
Contact information
Practice address
36975 S ESTANCIA DR, MARANA, AZ 85658-8323
(520) 603-8447
Mailing address
1846 E INNOVATION PARK DR STE 100, ORO VALLEY, AZ 85755-1963
(520) 603-8447
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
05/23/2024
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