Organization
AZ BEHAVIORAL HEALTH SERVICES LLC
Active
Other names
AZ Behavioral Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ALI MOHAMED MSC (DIRECTOR)
(919) 641-8958
Entity
Organization
Contact information
Practice address
2126 W COOLBROOK AVE, PHOENIX, AZ 85023-2260
(602) 993-1455
Mailing address
2126 W COOLBROOK AVE, PHOENIX, AZ 85023-2260
(602) 993-1455
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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