| Patulla Behavioral Health Services Llc | |
|
48 W Tamarisk St # 7 Phoenix AZ 85041-2423 | |
| (702) 716-9588 | |
| Not Available |
| Full Name | Patulla Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 48 W Tamarisk St # 7, Phoenix, Arizona |
| Authorized Official Name and Position | Bernice Atkinson (DIRECTOR) |
| Authorized Official Contact | 7027169588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patulla Behavioral Health Services Llc 6500 Aria Blvd Apt 473 Sandy Springs GA 30328-3679 Ph: () - | Patulla Behavioral Health Services Llc 48 W Tamarisk St # 7 Phoenix AZ 85041-2423 Ph: (702) 716-9588 |
| NPI Number | 1891375762 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891375762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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