Organization
GREAT HORIZONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO COOPER (OWNER)
(775) 379-8810
Entity
Organization
Contact information
Practice address
2400 W DUNLAP AVE STE 210, PHOENIX, AZ 85021-2817
(775) 379-8810
Mailing address
2400 W DUNLAP AVE STE 210, PHOENIX, AZ 85021-2817
(775) 379-8810
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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