| Desert Edge Mentoring Services | |
|
1950 W Heatherbrae Dr Ste 10 Phoenix AZ 85015-5110 | |
| (602) 237-2485 | |
| (602) 274-6531 |
| Full Name | Desert Edge Mentoring Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1950 W Heatherbrae Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Dennis Gregory (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6022372485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Edge Mentoring Services Po Box 1097 Laveen AZ 85339-1097 Ph: (602) 237-2485 | Desert Edge Mentoring Services 1950 W Heatherbrae Dr Ste 10 Phoenix AZ 85015-5110 Ph: (602) 237-2485 |
| NPI Number | 1306021126 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 01/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306021126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-3807 (Arizona) | Primary |
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