Organization
NATIONAL COUNCIL ON ALCOHOLISM GREATER PHOENIX AREA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA KOZIBA (CFO)
(602) 264-6214
Entity
Organization
Contact information
Practice address
4201 N 16TH ST, SUITE 140, PHOENIX, AZ 85016-5347
(602) 264-6214
(602) 265-2102
Mailing address
4201 N 16TH ST, SUITE 140, PHOENIX, AZ 85016-5347
(602) 264-6214
(602) 265-2102
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH1887
AZ
Other
Enumeration date
06/21/2006
Last updated
10/24/2011
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