Organization
COURAGE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI CARTER (OWNER)
(408) 430-8445
Entity
Organization
Contact information
Practice address
2301 W DUNLAP AVE STE 108, PHOENIX, AZ 85021-2845
(408) 430-8445
Mailing address
2301 W DUNLAP AVE STE 108, PHOENIX, AZ 85021-2845
(408) 430-8445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
OTHER
AZ
Enumeration date
06/15/2021
Last updated
06/15/2021
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