Organization
ONE POINT PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALINE INDATWA (OWNER)
(480) 233-2544
Entity
Organization
Contact information
Practice address
5060 N 19TH AVE STE 410, PHOENIX, AZ 85015-3214
(480) 233-2544
Mailing address
5060 N 19TH AVE STE 410, PHOENIX, AZ 85015-3214
(480) 233-2544
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSLG11864
ARIZONA DEPARTMENT OF HEALTH
AZ
Enumeration date
08/11/2022
Last updated
08/11/2022
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