| Crown Behavioral Integrated Clinic | |
|
6619 N 19th Ave Ste C1 Phoenix AZ 85015-1631 | |
| (480) 214-5886 | |
| Not Available |
| Full Name | Crown Behavioral Integrated Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6619 N 19th Ave Ste C1, Phoenix, Arizona |
| Authorized Official Name and Position | Maurice Mbarushimana (ADMINISTRATOR) |
| Authorized Official Contact | 6023121334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Behavioral Integrated Clinic 6619 N 19th Ave Ste C1 Phoenix AZ 85015-1631 Ph: (480) 214-5886 | Crown Behavioral Integrated Clinic 6619 N 19th Ave Ste C1 Phoenix AZ 85015-1631 Ph: (480) 214-5886 |
| NPI Number | 1538958970 |
|---|---|
| Provider Enumeration Date | 05/02/2025 |
| Last Update Date | 05/02/2025 |
| Certification Date | 05/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538958970 | NPI | - | NPPES |
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