Organization
PREFERRED BEHAVIORAL SERVICES LLC
Active
Other names
PBS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAMECK JOHN NYAKWEBA PHARMD (CEO)
(602) 430-9646
Entity
Organization
Contact information
Practice address
8751 N 51ST AVE STE 126, GLENDALE, AZ 85302-4928
(602) 430-9646
Mailing address
11418 W ROSEWOOD DR, AVONDALE, AZ 85392-3421
(602) 430-9646
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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