Organization
DBOTC LLC
Active
Other names
DBOTC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN O'NEAL (CEO)
(480) 388-4906
Entity
Organization
Contact information
Practice address
1616 E MAIN ST STE 111, MESA, AZ 85203-9072
(480) 388-4906
Mailing address
1616 E MAIN ST STE 111, MESA, AZ 85203-9072
(480) 388-4906
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/03/2020
Last updated
07/24/2024
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