Organization
B SMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ELIAS (OWNER)
(702) 940-8016
Entity
Organization
Contact information
Practice address
29603 N 164TH ST, SCOTTSDALE, AZ 85262-6962
(702) 940-7896
(702) 940-8016
Mailing address
29603 N 164TH ST, SCOTTSDALE, AZ 85262-6962
(702) 940-7896
(702) 940-8016
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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