Greystone House 2, Llc | |
27490 N Higuera Dr Peoria AZ 85383-4859 | |
(602) 525-5468 | |
(602) 467-3153 |
Full Name | Greystone House 2, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 27490 N Higuera Dr, Peoria, Arizona |
Authorized Official Name and Position | Alex Pescador (OWNER AND ADMINISTRATOR) |
Authorized Official Contact | 6025255468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Greystone House 2, Llc 27490 N Higuera Dr Peoria AZ 85383-4859 Ph: (602) 525-5468 | Greystone House 2, Llc 27490 N Higuera Dr Peoria AZ 85383-4859 Ph: (602) 525-5468 |
NPI Number | 1013556687 |
---|---|
Provider Enumeration Date | 12/31/2019 |
Last Update Date | 12/31/2019 |
Certification Date | 12/31/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013556687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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