Organization
VALLEY ADDICTION & MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN P. TOWNSEND NP (OWNER/CEO)
(602) 456-1008
Entity
Organization
Contact information
Practice address
16845 N. 29TH AVE, STE 1-211, PHOENIX, AZ 85053
(602) 456-1008
(602) 993-2323
Mailing address
16845 N. 29TH AVE, STE 1-211, PHOENIX, AZ 85053
(602) 456-1008
(602) 993-2323
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
537951
—
AZ
Enumeration date
12/18/2018
Last updated
12/18/2018
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