Organization
GLORY TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HABTOM H HADISH (MANAGER)
(602) 516-4473
Entity
Organization
Contact information
Practice address
3104 W GLENDALE AVE STE 10, PHOENIX, AZ 85051-8317
(602) 516-4473
Mailing address
9439 W VIRGINIA AVE, PHOENIX, AZ 85037-4433
(602) 516-4473
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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