| Professional Caring Kings LLC | |
|
43972 W Yucca Ln Maricopa AZ 85138-4019 | |
| (775) 376-3246 | |
| Not Available |
| Full Name | Professional Caring Kings LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 43972 W Yucca Ln, Maricopa, Arizona |
| Authorized Official Name and Position | Jalen Williams (OWNER) |
| Authorized Official Contact | 7753763246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Caring Kings LLC 43972 W Yucca Ln Maricopa AZ 85138-4019 Ph: (775) 376-3246 | Professional Caring Kings LLC 43972 W Yucca Ln Maricopa AZ 85138-4019 Ph: (775) 376-3246 |
| NPI Number | 1265012116 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/27/2022 |
| Certification Date | 04/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265012116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Secondary |
| 251S00000X | Community/behavioral Health | () | Primary |
| 261Q00000X | Clinic/center | () | Secondary |
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