Organization
HEALED PHOENIX BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BRYANT (AUTHORIZED OFFICIAL)
(513) 252-6939
Entity
Organization
Contact information
Practice address
1033 SW YAMHILL ST STE 101, PORTLAND, OR 97205-2537
(513) 252-6939
Mailing address
12317 W DENTON AVE, LITCHFIELD PARK, AZ 85340-3434
(513) 252-6939
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
12/05/2024
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