Organization
CIRCLE THE CITY BEHAVIORAL HEALTH, LLC
Active
Parent organization
CIRCLE THE CITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIRCLE THE CITY
Authorized official
BRANDON STEVEN CLARK (CHIEF EXECUTIVE)
(602) 776-9000
Entity
Organization
Contact information
Practice address
333 W INDIAN SCHOOL RD, PHOENIX, AZ 85013-3205
(602) 776-9000
Mailing address
333 W INDIAN SCHOOL RD, PHOENIX, AZ 85013-3205
(602) 776-9000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
UNC5520
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012453
—
AZ
Enumeration date
04/03/2015
Last updated
05/20/2015
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