Organization
TANNER COMMUNITY DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARLENE LITTLE (EXECUTIVE DIRECTOR)
(602) 253-6904
Entity
Organization
Contact information
Practice address
700 E JEFFERSON ST STE 200, PHOENIX, AZ 85034-2202
(602) 253-6904
(602) 253-2723
Mailing address
700 E JEFFERSON ST STE 200, PHOENIX, AZ 85034-2202
(602) 253-6904
(602) 253-2723
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
50216
AZ
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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