Organization
BREAKING BARRIERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE RELF (CEO)
(623) 931-2801
Entity
Organization
Contact information
Practice address
1008 E BUCKEYE RD, SUITE 125, PHOENIX, AZ 85034-4084
(623) 931-2801
(623) 931-2903
Mailing address
1008 E BUCKEYE RD, SUITE 125, PHOENIX, AZ 85034-4084
(623) 931-2801
(623) 931-2903
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25/S00000X
PRIMARY TAXONOMY
AZ
Enumeration date
01/29/2014
Last updated
01/29/2014
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