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1609105642
AZ CENTER FOR CHANGE
PHOENIX, AZ
NPI
1609105642
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Entity Type
Organization
Authorized Contact
DIANE GENCO
Clinical Director/Owner
602-253-8488
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: AZ BH-3486)
Enumeration Date
2009-12-22
Last Update Date
2024-09-18
Business Address
AZ CENTER FOR CHANGE
4205 N 7TH AVE 311
PHOENIX, AZ 85013-3078
Phone number: 602-253-8488
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Mailing Address
AZ CENTER FOR CHANGE
4205 N 7TH AVE 311
PHOENIX, AZ 85013-3078
Phone number: 602-253-8488
Copy
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