Organization
QUAYLE INTERVENTIONAL SERVICES LLC
Active
Other names
Holisticare
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BAZEMORE QUAYE DBH, CFNC, CEAP, SAP (CLINICAL DIRECTOR)
(443) 636-0686
Entity
Organization
Contact information
Practice address
5041 W NORTHERN AVE STE C, GLENDALE, AZ 85301-1539
(480) 508-1078
Mailing address
5041 W NORTHERN AVE STE C, GLENDALE, AZ 85301-1539
(480) 508-1078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/04/2025
Last updated
04/10/2026
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