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Organization

THE BLANK PROJECT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SOPHIA KRISHUN LINDSEY (OWNER /CEO)
(602) 754-0400
Entity
Organization

Contact information

Practice address
3410 S 121ST DR, TOLLESON, AZ 85353-2707
(602) 754-0400
(602) 754-0400
Mailing address
3410 S 121ST DR, TOLLESON, AZ 85353-2707
(602) 754-0400

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/19/2025
Last updated
11/19/2025
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