Organization
PINNACLE PEAK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY RIVERS (OWNER)
(602) 250-0445
Entity
Organization
Contact information
Practice address
626 W INDIAN SCHOOL RD, PHOENIX, AZ 85013-3150
(602) 250-0445
Mailing address
626 W INDIAN SCHOOL RD, PHOENIX, AZ 85013-3150
(602) 250-0445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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