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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