Organization
SENTINEL HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK MASOYA (SITE ADMINISTRATOR/AUTHORIZED PERSO)
(480) 276-8277
Entity
Organization
Contact information
Practice address
1717 W NORTHERN AVE ST 202 F, PHOENIX, AZ 85021-5471
(480) 674-9259
Mailing address
1717 W NORTHERN AVENUE ST 202F, PHOENIX, AZ 85021
(480) 276-8277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/24/2022
Last updated
09/11/2023
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