NPI | 1407132673 |
---|---|
Other Name | ADELANTE HEALTHCARE SURPRISE BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | KRYSTAL POWELL Revenue Cycle Director 623-583-3001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: AZ Y005422) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2023-04-28 |