Organization
CANYON HEALTH CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WINZELBERG (ADMINISTRATOR)
(917) 753-3850
Entity
Organization
Contact information
Practice address
333 W THOMAS RD STE 100, PHOENIX, AZ 85013-4424
(480) 903-6463
Mailing address
7000 N 16TH ST STE 120-168, PHOENIX, AZ 85020-5512
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC13176
STATE
AZ
Enumeration date
01/16/2024
Last updated
01/17/2024
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