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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