Organization
DIRECT CONNECT VENTURES LLC
Active
Organization
DIRECT CONNECT VENTURES LLC
Active
Other names
Desert Foothills Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVORY KAIMARON PRICE (CEO)
(520) 371-3782
Entity
Organization
Contact information
Practice address
26 E BASELINE RD STE 132, PHOENIX, AZ 85042-6545
(602) 362-5100
Mailing address
26 E BASELINE RD STE 132, PHOENIX, AZ 85042-6545
(602) 362-5100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069683
—
AZ
Enumeration date
12/08/2021
Last updated
12/08/2021
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