| Warriors Code Inc. | |
|
1246 E Jefferson St Phoenix AZ 85034-2312 | |
| (602) 653-3022 | |
| Not Available |
| Full Name | Warriors Code Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1246 E Jefferson St, Phoenix, Arizona |
| Authorized Official Name and Position | Anthony Newkirk (FOUNDER/CEO) |
| Authorized Official Contact | 6026533022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warriors Code Inc. 1246 E Jefferson St Phoenix AZ 85034-2312 Ph: (602) 653-3022 | Warriors Code Inc. 1246 E Jefferson St Phoenix AZ 85034-2312 Ph: (602) 653-3022 |
| NPI Number | 1215506282 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 06/27/2021 |
| Certification Date | 06/27/2021 |
| Medicare PECOS PAC ID | 0941740112 |
|---|---|
| Medicare Enrollment ID | O20240913003558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215506282 | NPI | - | NPPES |
| Provider Name | Josue Bustos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003466731 PECOS PAC ID: 3971934936 Enrollment ID: I20200507002803 |
| Provider Name | Jacqueline Alejandra Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669147294 PECOS PAC ID: 5496150658 Enrollment ID: I20250411002622 |
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