Organization
AZ COMPASSIONATE CARE BEHAVIORAL & WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KING WILLIAM PSYCHOLOGIST (CEO)
(480) 458-7350
Entity
Organization
Contact information
Practice address
15640 N 7TH ST STE A1, PHOENIX, AZ 85022-3520
(602) 858-0191
(602) 858-0140
Mailing address
15640 N 7TH ST STE A1, PHOENIX, AZ 85022-3520
(602) 858-0191
(602) 858-0140
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
03/31/2023
Last updated
05/07/2025
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