Organization
GOLDEN HEART CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS VILLICANA (PRESIDENT)
(623) 606-1907
Entity
Organization
Contact information
Practice address
7250 N 23RD AVE, PHOENIX, AZ 85021-7715
(623) 377-8983
(623) 476-5646
Mailing address
21620 N 19TH AVE STE A6, PHOENIX, AZ 85027-2716
(623) 606-1907
(623) 248-4570
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/11/2024
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