Individual
MR. EMMANUEL ADE EPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7204 W PUEBLO AVE, PHOENIX, AZ 85043-2037
(623) 440-7423
Mailing address
1638 E GREENWAY RD, PHOENIX, AZ 85042-5788
(602) 481-9789
(602) 268-1248
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
BH3872
AZ
323P00000X
Psychiatric Residential Treatment Facility
—
AZ
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
08/02/2011
Last updated
09/30/2019
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