Individual
MS. PARISS BOBO-MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7121 W WILLIAMS ST, PHOENIX, AZ 85043-7809
(602) 743-5845
Mailing address
11201 N TATUM BLVD STE 300, PHOENIX, AZ 85028-6039
(602) 743-5845
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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