Organization
MAGELLAN HEALTH SERVICES
Active
Other names
Magellan of Tempe
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE DYSON-PORTER SITE ADMINISTRATOR (SITE ADMINISTRATOR)
(480) 929-5100
Entity
Organization
Contact information
Practice address
1225 E BROADWAY RD STE 240, TEMPE, AZ 85282-1526
(480) 929-5100
(480) 731-1066
Mailing address
1225 E. BROADWAY RD STE 240, TEMPE, AZ 85282
(480) 929-5100
(480) 731-1066
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RN087838
AZ
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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