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Organization

MEADOWS OUTPATIENT CENTER PENNSYLVANIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TRACY LIVINGSTON (VP OF REVENUE CYCLE)
(928) 684-4039
Entity
Organization

Contact information

Practice address
3477 CORPORATE PARKWAY, SUITE 100 - OFFICE 120, CENTER VALLEY, PA 18034-8237
(928) 684-4039
Mailing address
19820 N 7TH ST STE 205, PHOENIX, AZ 85024-1694
(928) 684-4039

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
05/20/2022
Last updated
05/20/2022
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