Organization
SANCTUARY: A HEALING PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J. JECMEN PH.D. (PSYCHOLOGIST/OWNER)
(480) 306-5771
Entity
Organization
Contact information
Practice address
9915 E BELL RD, SUITE 120, SCOTTSDALE, AZ 85260-2395
(480) 306-5771
Mailing address
62 W GNEISS TRL, FLAGSTAFF, AZ 86005-8378
(480) 306-5771
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0912755
AZ
Other
Enumeration date
12/21/2010
Last updated
01/08/2014
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