Organization
UPLIFT BAHVAIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVELLE MICHAEL THOMAS (OWNER)
(775) 686-0551
Entity
Organization
Contact information
Practice address
2301 W DUNLAP AVE STE 108, PHOENIX, AZ 85021-2845
(775) 686-0551
Mailing address
2301 W DUNLAP AVE STE 108, PHOENIX, AZ 85021-2845
(775) 686-0551
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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