Organization
DEMBRO OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNA MICHELLE DEMUS (CHIEF ADMINISTRATIVE OFFICER)
(623) 695-6045
Entity
Organization
Contact information
Practice address
3101 N CENTRAL AVE STE 220, PHOENIX, AZ 85012-2645
(623) 695-6045
Mailing address
3101 N CENTRAL AVE STE 220, PHOENIX, AZ 85012-2645
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/28/2024
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