Organization
EQUINE SPIRIT PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ROSE JIMENEZ MSW (PROGRAM/GRANT MANAGER)
(480) 299-2506
Entity
Organization
Contact information
Practice address
17016 E SAN TAN BLVD, QUEEN CREEK, AZ 85142-8049
(480) 299-2506
Mailing address
17016 E SAN TAN BLVD, QUEEN CREEK, AZ 85142-8049
(480) 299-2506
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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