Organization
TALAS HARBOR AT BUCKEYE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON STEWART (CEO)
(253) 241-4992
Entity
Organization
Contact information
Practice address
1407 S 9TH AVE, PHOENIX, AZ 85007-3904
(928) 299-5178
Mailing address
1407 S 9TH AVE, PHOENIX, AZ 85007-3904
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
02/22/2022
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