Organization
FOUNDATIONS FOR CHANGE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S EDELMAN N.P. (OWNER)
(602) 368-8311
Entity
Organization
Contact information
Practice address
3841 N 24TH ST, PHOENIX, AZ 85016-6512
(602) 368-8311
(602) 368-8318
Mailing address
3841 N 24TH ST, PHOENIX, AZ 85016-6512
(602) 368-8311
(602) 368-8318
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP2472
AZ
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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