Organization
SEQUOIA SUPPORT SEVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS PIKE (PRESIDENT/CEO)
(602) 570-0360
Entity
Organization
Contact information
Practice address
1648 S 16TH ST, PHOENIX, AZ 85034-5340
(602) 448-0935
Mailing address
1648 S 16TH ST, PHOENIX, AZ 85034-5340
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-4371
AZ
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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