Organization
COLPAYNE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC R PAYNE (CO-OWNER)
(480) 512-9371
Entity
Organization
Contact information
Practice address
7576 W DARREL RD, LAVEEN, AZ 85339-7086
(480) 512-9371
Mailing address
7576 W DARREL RD, LAVEEN, AZ 85339-7086
(480) 512-9371
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/21/2020
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