Organization
BCM HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RENEE EKANEM (EXECUTIVE DIRECTOR)
(602) 518-2175
Entity
Organization
Contact information
Practice address
204 W CENTRAL AVE, COOLIDGE, AZ 85228-4705
(602) 518-2175
(623) 487-1076
Mailing address
9350 N 67TH AVE, #162, GLENDALE, AZ 85302-3934
(602) 518-2175
(623) 487-1076
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164234
—
AZ
Enumeration date
06/12/2007
Last updated
07/01/2008
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