| Takoda Behavioral Homes LLC | |
|
7224 W Sophie Ln Laveen AZ 85339-3476 | |
| (602) 561-4025 | |
| Not Available |
| Full Name | Takoda Behavioral Homes LLC |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 7224 W Sophie Ln, Laveen, Arizona |
| Authorized Official Name and Position | Lizbeth Navarro (OWNER) |
| Authorized Official Contact | 6025614025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Takoda Behavioral Homes LLC 7224 W Sophie Ln Laveen AZ 85339-3476 Ph: (602) 561-4025 | Takoda Behavioral Homes LLC 7224 W Sophie Ln Laveen AZ 85339-3476 Ph: (602) 561-4025 |
| NPI Number | 1902586217 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902586217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | () | Primary |
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