Organization
SHALOM BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES THOMAL HARRIS (CEO/ADMINISTRATOR)
(602) 799-0030
Entity
Organization
Contact information
Practice address
4449 W KEATING CIR, GLENDALE, AZ 85308-3549
(602) 781-7025
Mailing address
4449 W KEATING CIR, GLENDALE, AZ 85308-3549
(602) 781-7025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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