Foundation For Healing, Llc | |
7148 N Sunrise Vis Prescott Valley AZ 86315-3039 | |
(828) 333-3485 | |
Not Available |
Full Name | Foundation For Healing, Llc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 7148 N Sunrise Vis, Prescott Valley, Arizona |
Authorized Official Name and Position | Deborah M. Johansen (CLINICAL DIRECTOR) |
Authorized Official Contact | 8283333485 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Foundation For Healing, Llc 3298 N Glassford Hill Rd Ste 104-220 Prescott Valley AZ 86314-1294 Ph: (828) 333-3485 | Foundation For Healing, Llc 7148 N Sunrise Vis Prescott Valley AZ 86315-3039 Ph: (828) 333-3485 |
NPI Number | 1205325198 |
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Provider Enumeration Date | 05/07/2018 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205325198 | NPI | - | NPPES |
273868 | Medicaid | AZ | |
1417409483 | Other | AZ | NPI |
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