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9855 S. Priest Drive Suite 102 Tempe AZ 85284 | |
| (480) 788-1009 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9855 S. Priest Drive, Tempe, Arizona |
| Authorized Official Name and Position | Alleya Kim (OWNER) |
| Authorized Official Contact | 4807881009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9855 S Priest Dr Ste 102 Tempe AZ 85284-3605 Ph: (480) 788-1009 | 9855 S. Priest Drive Suite 102 Tempe AZ 85284 Ph: (480) 788-1009 |
| NPI Number | 1487169009 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 12/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487169009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 15218 (Arizona) | Primary |
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