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1598460511
GRAND CANYON BEHAVIOR HEALTH SERVICES LLC
PHOENIX, AZ
NPI
1598460511
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Entity Type
Organization
Authorized Contact
EVELYNE NDERA
Owner
602-900-3506
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
GRAND CANYON BEHAVIOR HEALTH SERVICES LLC
3215 E FLOWER ST
PHOENIX, AZ 85018-6329
Phone number: 602-900-3506
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Mailing Address
GRAND CANYON BEHAVIOR HEALTH SERVICES LLC
3215 E FLOWER ST
PHOENIX, AZ 85018-6329
Phone number:
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