Organization
ARIZONA THERAPEUTIC LEARNING CENTER
Active
Organization
ARIZONA THERAPEUTIC LEARNING CENTER
Active
Other names
Trillium Integrated Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN KUHN (EXECUTIVE DIRECTOR)
(602) 230-7373
Entity
Organization
Contact information
Practice address
3620 N 3RD ST, PHOENIX, AZ 85012-2020
(602) 230-7373
(602) 230-5102
Mailing address
2701 E CAMELBACK RD, #155, PHOENIX, AZ 85016-4309
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-4082
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
709972
—
AZ
Enumeration date
01/07/2013
Last updated
04/01/2013
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