Organization
1 STOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HUNDLEY JR. (DIRECTOR)
(480) 290-5688
Entity
Organization
Contact information
Practice address
9052 E HOBART ST, MESA, AZ 85207-4246
(480) 290-5688
Mailing address
9052 E HOBART ST, MESA, AZ 85207-4246
(480) 290-5688
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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