Organization
AMANAH HEALTH, LLC
Active
Organization
AMANAH HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROD GRANBERRY III (CEO)
(602) 668-6118
Entity
Organization
Contact information
Practice address
4616 N 51ST AVE STE 216, PHOENIX, AZ 85031-1716
(602) 668-6118
Mailing address
4616 N 51ST AVE STE 216, PHOENIX, AZ 85031-1716
(602) 668-6118
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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