Organization
KIDSCOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA S DAVIS (CEO/MANAGING MEMBER)
(602) 614-9197
Entity
Organization
Contact information
Practice address
13055 W MCDOWELL RD, SUITE G-112, AVONDALE, AZ 85392-6449
(602) 792-5021
(602) 792-5262
Mailing address
13055 W MCDOWELL RD, SUITE G-112, AVONDALE, AZ 85392-6449
(623) 792-5021
(623) 792-5262
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
AZ
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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