Organization
ONE TREE INC
Active
Other names
Hansen Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT E HENDERSON (CEO)
(619) 772-6450
Entity
Organization
Contact information
Practice address
2423 W DUNLAP AVE, PHOENIX, AZ 85021-2830
(619) 772-6450
Mailing address
PO BOX 12262, EL CAJON, CA 92022-2262
(619) 772-6450
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
G36137
AZ
Other
Enumeration date
05/05/2013
Last updated
05/05/2013
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