Organization
KAUFMAN INTEGRATED HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY S. KAUFMAN PH.D. (EXECUTIVE DIRECTOR)
(602) 257-0560
Entity
Organization
Contact information
Practice address
17505 N 79TH AVE, SUITE 315, GLENDALE, AZ 85308-8725
(602) 820-9398
Mailing address
17505 N 79TH AVE, SUITE 315, GLENDALE, AZ 85308-8725
(602) 820-9398
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
BH4321
AZ
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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