Organization
4 CORNERS BEHAVIORAL HEALTH & PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIERRA DOBBINS (OWNER)
(929) 692-4710
Entity
Organization
Contact information
Practice address
7112 N 55TH AVE STE C, GLENDALE, AZ 85301-0707
(929) 692-4710
Mailing address
8050 N 19TH AVE STE 504, PHOENIX, AZ 85021-5101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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