| Jolley Family Behavioral Health | |
|
20104 W Broadway Rd Buckeye AZ 85326-5753 | |
| (623) 327-9573 | |
| Not Available |
| Full Name | Jolley Family Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20104 W Broadway Rd, Buckeye, Arizona |
| Authorized Official Name and Position | Devin Pierre Duncan (OWNER) |
| Authorized Official Contact | 6232938900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jolley Family Behavioral Health 9343 W Pioneer St Tolleson AZ 85353-1502 Ph: () - | Jolley Family Behavioral Health 20104 W Broadway Rd Buckeye AZ 85326-5753 Ph: (623) 327-9573 |
| NPI Number | 1407420805 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407420805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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