Organization
PRATS RESIDENTIAL BEHAVIORAL HEALTH AGENCY IV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GISELIA PRATS LPC (DIRECTOR)
(602) 348-2115
Entity
Organization
Contact information
Practice address
13811 N 38TH ST, PHOENIX, AZ 85032-5713
(602) 348-2115
(602) 996-1577
Mailing address
3015 E GELDING DR, PHOENIX, AZ 85032
(602) 400-2288
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4111
AZ
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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