Destiny Springs Healthcare, Llc | |
17300 N Dysart Rd Surprise AZ 85378-4501 | |
(160) 271-4332 | |
Not Available |
Full Name | Destiny Springs Healthcare, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 17300 N Dysart Rd, Surprise, Arizona |
Authorized Official Name and Position | Donna Noriega (CEO) |
Authorized Official Contact | 6232333000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Destiny Springs Healthcare, Llc 17300 N Dysart Rd Surprise AZ 85378-4501 Ph: (160) 271-4332 | Destiny Springs Healthcare, Llc 17300 N Dysart Rd Surprise AZ 85378-4501 Ph: (160) 271-4332 |
NPI Number | 1114511037 |
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Provider Enumeration Date | 02/22/2021 |
Last Update Date | 02/22/2021 |
Certification Date | 02/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114511037 | NPI | - | NPPES |
546229 | Medicaid | AZ |
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› Verified 9 days ago
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