SearchArizona163WP0809X

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NPI 1750996617 · on the registry since 2020 · sole proprietor

Practice

Address
2539 W Spencer Run
Phoenix, AZ 85041
Phone
(602) 975-6765
Organisation at this address
Safe Haven Behavioral Health
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
163WP0809X
163WP0809X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona