Individual
DENNIS BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
43284 W ARIZONA AVE, MARICOPA, AZ 85138-8236
(470) 302-2964
Mailing address
1900 W CHANDLER BLVD STE 15-358, CHANDLER, AZ 85224-6217
(470) 302-2964
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
BH5143
AZ
323P00000X
Psychiatric Residential Treatment Facility
Primary
BH5143
AZ
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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