| Tap Program Outpatient Clinic - Tempe | |
|
2020 S Mcclintock Drive Suite 105 Tempe AZ 85282 | |
| (480) 284-7304 | |
| (480) 284-7616 |
| Full Name | Tap Program Outpatient Clinic - Tempe |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2020 S Mcclintock Drive Suite 105, Tempe, Arizona |
| Authorized Official Name and Position | Wendy Razo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9287773280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tap Program Outpatient Clinic - Tempe 3170 Stillwater Drive Prescott AZ 86305 Ph: (928) 777-3280 | Tap Program Outpatient Clinic - Tempe 2020 S Mcclintock Drive Suite 105 Tempe AZ 85282 Ph: (480) 284-7304 |
| NPI Number | 1679809636 |
|---|---|
| Provider Enumeration Date | 10/27/2009 |
| Last Update Date | 03/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679809636 | NPI | - | NPPES |
| 476196 | Medicaid | AZ | |
| BH-3420 | Other | AZ | AHCCCS |
| OTC8667 | Other | AZ | OUTPATIENT TREATMENT CENTER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-3420 (Arizona) | Secondary |
| 251S00000X | Community/behavioral Health | OTC8667 (Arizona) | Primary |
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