| Aces 2020, Llc | |
|
12409 W Indian School Rd Ste B210 Avondale AZ 85392-9505 | |
| (855) 223-7123 | |
| (619) 374-7134 |
| Full Name | Aces 2020, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12409 W Indian School Rd Ste B210, Avondale, Arizona |
| Authorized Official Name and Position | Christopher Rivera (ASCCOCIATE MANAGER OF CREDENTIALING) |
| Authorized Official Contact | 6199777201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aces 2020, Llc Po Box 33568 San Diego CA 92163-3568 Ph: (855) 223-7123 | Aces 2020, Llc 12409 W Indian School Rd Ste B210 Avondale AZ 85392-9505 Ph: (855) 223-7123 |
| NPI Number | 1720880917 |
|---|---|
| Provider Enumeration Date | 03/26/2025 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720880917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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