Organization
DESERT WELLCARE BEHAVIORAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORCAS ANTWI (DIRECTOR)
(413) 627-6008
Entity
Organization
Contact information
Practice address
3320 W CHERYL DR STE B225, PHOENIX, AZ 85051-9579
(413) 627-6008
Mailing address
3320 W CHERYL DR STE B225, PHOENIX, AZ 85051-9579
(413) 627-6008
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC12240
AZDHS
AZ
Enumeration date
02/06/2023
Last updated
02/06/2023
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