Organization
ENGAGING LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA ROBINSON DNP, PSYD (EXECUTIVE MEDICAL DIRECTOR/COO)
(602) 845-0767
Entity
Organization
Contact information
Practice address
12600 N 113TH AVE STE B9, YOUNGTOWN, AZ 85363-1163
(602) 845-0767
(602) 715-0647
Mailing address
12600 N 113TH AVE STE B9, YOUNGTOWN, AZ 85363-1163
(602) 845-0767
(602) 715-0647
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
12/21/2019
Last updated
06/19/2020
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