Edit Behavioral Health Llc | |
813 S Parker Pl Casa Grande AZ 85122-6834 | |
(702) 332-1399 | |
Not Available |
Full Name | Edit Behavioral Health Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 813 S Parker Pl, Casa Grande, Arizona |
Authorized Official Name and Position | Britney Lavergne (OWNER) |
Authorized Official Contact | 9099560223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Edit Behavioral Health Llc 7339 E Williams Dr Unit 26048 Scottsdale AZ 85255-9998 Ph: (909) 956-0223 | Edit Behavioral Health Llc 813 S Parker Pl Casa Grande AZ 85122-6834 Ph: (702) 332-1399 |
NPI Number | 1114622248 |
---|---|
Provider Enumeration Date | 03/30/2023 |
Last Update Date | 03/30/2023 |
Certification Date | 03/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114622248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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