Organization
EMPIRE HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASERE DAVID MWARA (OWNER)
(480) 685-1147
Entity
Organization
Contact information
Practice address
35612 N 34TH LN, PHOENIX, AZ 85086-2263
(480) 685-1147
Mailing address
4518 E COYOTE WASH DR, CAVE CREEK, AZ 85331-4026
(480) 685-1147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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