Organization
TRINITY INTEGRATED HEALTHCARE
Active
Other names
moses behavioral care III
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENT AGBOOLA (MEMBER)
(480) 589-6692
Entity
Organization
Contact information
Practice address
829 E CHIPMAN RD, PHOENIX, AZ 85040-8504
(602) 603-9474
(602) 603-9474
Mailing address
829 E CHIPMAN RD, PHOENIX, AZ 85040
(602) 603-9474
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
09/02/2025
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