Organization
THE PURPLE TRAIL CENTER LLC
Active
Other names
PTC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMIKA DENISE HARROLD (OWNER)
(480) 518-4895
Entity
Organization
Contact information
Practice address
2601 W CLAREMONT ST APT 2070, PHOENIX, AZ 85017-6252
(480) 518-4895
Mailing address
2601 W CLAREMONT ST APT 2070, PHOENIX, AZ 85017-6252
(480) 518-4895
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us