Organization
PROSPER AZ
Active
Organization
PROSPER AZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELONDA WILSON (ADMINISTRATOR)
(602) 899-3015
Entity
Organization
Contact information
Practice address
10750 W MCDOWELL RD, AVONDALE, AZ 85392-5960
(602) 899-3015
Mailing address
10750 W MCDOWELL RD STE C301, AVONDALE, AZ 85392-5964
(623) 755-5679
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/27/2021
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