Organization
ADVANCED BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY RAY DIQUARTO BA (PROGRAM ADMINISTRATOR)
(775) 233-5082
Entity
Organization
Contact information
Practice address
9417 N 17TH PL, PHOENIX, AZ 85020-2310
(520) 661-2594
Mailing address
9417 N 17TH PL, PHOENIX, AZ 85020-2310
(520) 661-2594
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/17/2018
Last updated
06/17/2018
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