Organization
AGNES' CENTERS FOR DOMESTIC SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE AGNES CROCKETT-SCOTT (DIRECTOR)
(480) 664-6554
Entity
Organization
Contact information
Practice address
455 S 48TH STREET, 106, TEMPE, AZ 85281
(480) 664-6554
Mailing address
455 S 48TH STREET, 106, TEMPE, AZ 85281
(480) 664-6554
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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