Organization
AZ SOBER LIVING & BEHAVIORAL HEALTH GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALDECK CHARLES MD (MEDICAL DIRECTOR)
(602) 315-7033
Entity
Organization
Contact information
Practice address
2920 N 24TH AVE STE 120, PHOENIX, AZ 85015-5958
(623) 302-9213
Mailing address
2920 N 24TH AVE STE 150, PHOENIX, AZ 85015-5959
(623) 302-9213
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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