Organization
HEARTS OF THE DESERT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANIA PENNINGTON MASTER'S (CEO)
(623) 229-5825
Entity
Organization
Contact information
Practice address
12914 W CHERRY HILLS DR, EL MIRAGE, AZ 85335-3048
(623) 229-5825
Mailing address
15778 W CARIBBEAN LN, SURPRISE, AZ 85379-6238
(623) 229-5825
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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