Organization
THE CEDAR SANCTUARY,LLC
Active
Other names
Desert Cedar
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLA MICHEL (OWNER)
(602) 723-7714
Entity
Organization
Contact information
Practice address
610 N ALMA SCHOOL RD, SUITE #24, CHANDLER, AZ 85224-3600
(480) 899-9878
Mailing address
610 N ALMA SCHOOL RD, SUITE #24, CHANDLER, AZ 85224-3600
(480) 899-9878
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444586
—
AZ
Enumeration date
09/29/2009
Last updated
09/30/2009
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