Organization
ABK BEHAVIORAL HEALTH OUTPATIENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALINE RWAGASANA (ADMINISTRATOR)
(207) 776-9334
Entity
Organization
Contact information
Practice address
4417 N 7TH AVE, PHOENIX, AZ 85013-2969
(033) 180-3082
Mailing address
9112 W FLORENCE AVE, TOLLESON, AZ 85353-1513
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
04/04/2023
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