Organization
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Active
Other names
Phoenix Mental Health and Wellness of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE JOHNSON (CEO)
(704) 506-6267
Entity
Organization
Contact information
Practice address
914 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-3254
(704) 506-6267
Mailing address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(704) 506-6267
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
04/24/2024
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