Organization
FOR THE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARNTBAUSE GARY SLONE SR. BS (CEO)
(602) 249-2996
Entity
Organization
Contact information
Practice address
5124 N 19TH AVE, SUITE #250, PHOENIX, AZ 85015-3233
(602) 249-2996
(602) 242-3405
Mailing address
5124 N 19TH AVE, SUITE #250, PHOENIX, AZ 85015-3233
(602) 249-2996
(602) 242-3405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH3118
AZ
Other
Enumeration date
12/06/2006
Last updated
10/07/2009
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