| Rite Of Passage, Inc. | |
|
20061 E Rittenhouse Road Suite A Queen Creek AZ 85142 | |
| (480) 987-9700 | |
| Not Available |
| Full Name | Rite Of Passage, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20061 E Rittenhouse Road, Queen Creek, Arizona |
| Authorized Official Name and Position | Rusty E Alexander (BUSINESS MANAGING DIRECTOR) |
| Authorized Official Contact | 7753922639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rite Of Passage, Inc. 2560 Business Pkwy Ste A Minden NV 89423-8961 Ph: (775) 392-2639 | Rite Of Passage, Inc. 20061 E Rittenhouse Road Suite A Queen Creek AZ 85142 Ph: (480) 987-9700 |
| NPI Number | 1427307768 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427307768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-3878 (Arizona) | Primary |
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