| Brothers United Against Domestic Violence | |
|
726 E. Monroe Ave. Suite B Buckeye AZ 85326 | |
| (602) 690-1643 | |
| Not Available |
| Full Name | Brothers United Against Domestic Violence |
|---|---|
| Speciality | Counselor - Professional |
| Location | 726 E. Monroe Ave. Suite B, Buckeye, Arizona |
| Authorized Official Name and Position | Rodney Lacerial Pearson (PRESIDENT/CEO) |
| Authorized Official Contact | 6026901643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brothers United Against Domestic Violence 14324 W. Desert Flower Dr. Goodyear AZ 85395 Ph: (602) 690-1643 | Brothers United Against Domestic Violence 726 E. Monroe Ave. Suite B Buckeye AZ 85326 Ph: (602) 690-1643 |
| NPI Number | 1205525979 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205525979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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