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1174389878
AGAVE BEHAVIORAL HEALTH, LLC
MARANA, AZ
NPI
1174389878
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Entity Type
Organization
Authorized Contact
KELLY IRWIN
Owner
520-603-8447
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-02-21
Last Update Date
2024-05-23
Business Address
AGAVE BEHAVIORAL HEALTH, LLC
36975 S ESTANCIA DR
MARANA, AZ 85658-8323
Phone number: 520-603-8447
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Mailing Address
AGAVE BEHAVIORAL HEALTH, LLC
1846 E INNOVATION PARK DR STE 100
ORO VALLEY, AZ 85755-1963
Phone number: 520-603-8447
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