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1316424633
ESRD BEHAVIORAL HEALTH, LLC
SURPRISE, AZ
NPI
1316424633
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Entity Type
Organization
Authorized Contact
LINH C NGUYEN
CEO
623-374-7774
Organization Subpart ?
No
Primary Taxonomy
207QG0300X Family Medicine Geriatric Medicine
Enumeration Date
2018-07-20
Last Update Date
2019-01-02
Business Address
ESRD BEHAVIORAL HEALTH, LLC
14780 W MOUNTAIN VIEW BLVD STE 110
SURPRISE, AZ 85374-7280
Phone number: 623-374-7774
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Mailing Address
ESRD BEHAVIORAL HEALTH, LLC
14780 W MOUNTAIN VIEW BLVD STE 110
SURPRISE, AZ 85374-7280
Phone number: 623-374-7774
Copy
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