Organization
GREEN SAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY OBOH (ADMINISTRATION)
(480) 692-0233
Entity
Organization
Contact information
Practice address
8207 E MACKENZIE DR, SCOTTSDALE, AZ 85251-2716
(480) 692-0233
Mailing address
8207 E MACKENZIE DR, SCOTTSDALE, AZ 85251-2716
(480) 692-0233
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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