Organization
AVOCA HEALTHCARE GROUP, LLC
Active
Other names
Alott of Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANDIS MAEZ (DIRECTOR)
(480) 399-8735
Entity
Organization
Contact information
Practice address
2237 N AVOCA, MESA, AZ 85207-2028
(480) 399-8735
Mailing address
2414 W OLD PAINT TRL, PHOENIX, AZ 85086-6608
(480) 399-8735
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
310400000X
Assisted Living Facility
Primary
AL10378H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266067
—
AZ
Enumeration date
02/19/2018
Last updated
02/19/2018
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