Organization
STABILITY ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYANNA D DAVENPORT-BROWN (CEO/EXECUTIVE MANAGER)
(910) 988-5332
Entity
Organization
Contact information
Practice address
4625 S LAKESHORE DR, TEMPE, AZ 85282-7127
(910) 988-5332
Mailing address
4625 S LAKESHORE DR, TEMPE, AZ 85282-7127
(910) 988-5332
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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