Individual
JOSHUA GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4228 E SHANNON ST, GILBERT, AZ 85295-7809
(480) 336-8859
Mailing address
4228 E SHANNON ST, GILBERT, AZ 85295-7809
(804) 776-9551
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH6804
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6804
BEHAVIORAL HEALTH HOME LICENSE NUMBER
AZ
Enumeration date
06/10/2021
Last updated
06/10/2021
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