Organization
8632 BH EBG LLC
Active
Other names
Enchanted Wellbriety
Organization subpart
No
Provider details
NPI number
Authorized official
AVRAHAM MAJER (MANAGER)
(718) 926-5415
Entity
Organization
Contact information
Practice address
8632 W VIA MONTOYA DR, PEORIA, AZ 85383-2050
(718) 926-5415
Mailing address
8632 W VIA MONTOYA DR, PEORIA, AZ 85383-2050
(718) 926-5415
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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