Organization
PINETOP BEHAVIORAL HEALTH LLC
Active
Organization
PINETOP BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE NYIRAKANYANA (OWNER)
(207) 409-6515
Entity
Organization
Contact information
Practice address
9439 W VIRGINIA AVE, PHOENIX, AZ 85037-4433
(207) 409-6515
Mailing address
PO BOX 2310, PINETOP, AZ 85935-2310
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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