Organization
POSTO SICURO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN FUGATE (FOUNDER)
(602) 622-7314
Entity
Organization
Contact information
Practice address
6750 N 7TH AVE, PHOENIX, AZ 85013-1110
(602) 622-7314
Mailing address
6750 N 7TH AVE, PHOENIX, AZ 85013-1110
(602) 622-7314
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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