Organization
CINDY HICKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY HICKS (OWNER)
(602) 547-9682
Entity
Organization
Contact information
Practice address
4602 W MONTE CRISTO AVE, GLENDALE, AZ 85306-2724
(602) 547-9682
Mailing address
4602 W MONTE CRISTO AVE, GLENDALE, AZ 85306-2724
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
BH2617
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016782
—
AZ
01
—
BH2617
BEHAVIORAL HEALTH LICENSE
AZ
Enumeration date
01/16/2007
Last updated
06/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us