Organization
BONDING HEARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS PENNIX (OWNER)
(773) 263-3010
Entity
Organization
Contact information
Practice address
1616 E INDIAN SCHOOL RD STE 225, PHOENIX, AZ 85016-8613
(773) 263-3010
Mailing address
1616 E INDIAN SCHOOL RD STE 225, PHOENIX, AZ 85016-8613
(773) 263-3010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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