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Organization

INTEGRO BEHAVIORAL HOSPITAL

Active
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Organization

INTEGRO BEHAVIORAL HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARCO VALERIO CANULLA MD (FOUNDER AND CHAIRMAN)
(602) 571-6521
Entity
Organization

Contact information

Practice address
1501 E ORANGEWOOD AVE STE D, PHOENIX, AZ 85020-5130
(602) 535-8200
(605) 457-2517
Mailing address
1501 E ORANGEWOOD AVE, PHOENIX, AZ 85020-5130
(602) 535-8200
(602) 457-2517

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary

Other

Enumeration date
10/19/2018
Last updated
12/10/2018
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