Organization
GARDENIA TRANQUILITY
Active
Other names
Living Springs Behavioral Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELPHINE MARIE THOMPSON (CREDENTIALINF SPECIALIST)
(480) 888-2123
Entity
Organization
Contact information
Practice address
4929 E LAUREL LN, SCOTTSDALE, AZ 85254-4640
(480) 888-2123
Mailing address
4929 E LAUREL LN, SCOTTSDALE, AZ 85254-4640
(480) 888-2123
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
BH3855
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231735
—
AZ
Enumeration date
05/02/2017
Last updated
05/02/2017
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