Organization
HILLCREST CSA LLC
Active
Organization
HILLCREST CSA LLC
Active
Other names
HILLCREST CSA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCIUS KING (DIRECTOR)
(480) 416-9691
Entity
Organization
Contact information
Practice address
7254 W WILLIAMS DR, GLENDALE, AZ 85310-5640
(480) 416-9691
Mailing address
17827 W HEARN RD, SURPRISE, AZ 85388-7536
(480) 416-9691
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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