Psa Behavioral Health Agency | |
3341 E Queen Creek Rd Ste 105 Gilbert AZ 85297-8510 | |
(480) 550-3193 | |
(480) 550-3194 |
Full Name | Psa Behavioral Health Agency |
---|---|
Speciality | Community/behavioral Health |
Location | 3341 E Queen Creek Rd Ste 105, Gilbert, Arizona |
Authorized Official Name and Position | Kimberly Quiros (COO) |
Authorized Official Contact | 6029951767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psa Behavioral Health Agency 2255 W Northern Ave Ste B100 Phoenix AZ 85021-4936 Ph: (602) 995-1767 | Psa Behavioral Health Agency 3341 E Queen Creek Rd Ste 105 Gilbert AZ 85297-8510 Ph: (480) 550-3193 |
NPI Number | 1255891065 |
---|---|
Provider Enumeration Date | 03/20/2019 |
Last Update Date | 04/03/2020 |
Certification Date | 04/03/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255891065 | NPI | - | NPPES |
CSLG9406 | Other | AZ | AZ LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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