| Gibson Behavioral Health Llc | |
|
4425 W Olive Ave Ste 203 Glendale AZ 85302-3853 | |
| (312) 599-8267 | |
| Not Available |
| Full Name | Gibson Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4425 W Olive Ave Ste 203, Glendale, Arizona |
| Authorized Official Name and Position | Lissa Sebatu (CEO) |
| Authorized Official Contact | 3125998267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Behavioral Health Llc 4425 W Olive Ave Ste 203 Glendale AZ 85302-3853 Ph: () - | Gibson Behavioral Health Llc 4425 W Olive Ave Ste 203 Glendale AZ 85302-3853 Ph: (312) 599-8267 |
| NPI Number | 1104500909 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104500909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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