Organization
PRESTIGE YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA S MUHAMMAD (RN)
(803) 600-6939
Entity
Organization
Contact information
Practice address
463 W CANARY WAY, CHANDLER, AZ 85286-4528
(803) 600-6939
Mailing address
463 W CANARY WAY, CHANDLER, AZ 85286-4528
(803) 600-6939
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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