| Direct Connect Ventures | |
|
5010 E Warner Rd Suite 111 Phoenix AZ 85044-3311 | |
| (480) 245-6066 | |
| Not Available |
| Full Name | Direct Connect Ventures |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5010 E Warner Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Ivory Kaimaron Price (CEO) |
| Authorized Official Contact | 5203713782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Connect Ventures 2320 E Baseline Rd Ste 148473 Phoenix AZ 85042-6951 Ph: (520) 371-3782 | Direct Connect Ventures 5010 E Warner Rd Suite 111 Phoenix AZ 85044-3311 Ph: (480) 245-6066 |
| NPI Number | 1295123164 |
|---|---|
| Provider Enumeration Date | 12/31/2014 |
| Last Update Date | 07/29/2020 |
| Certification Date | 07/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295123164 | NPI | - | NPPES |
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