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Organization

BUILDING RESILIENCE AZ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TABIATHA BURSE (OWNER)
(702) 325-5082
Entity
Organization

Contact information

Practice address
1090 S GILBERT RD STE 106-181, GILBERT, AZ 85296-3438
(725) 325-5082
Mailing address
1090 S GILBERT RD STE 106-181, GILBERT, AZ 85296-3438
(725) 325-5082

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23233803
BUSINESS ENTITY #
AZ
Enumeration date
06/09/2021
Last updated
06/09/2021
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