| Princes Passion Behavioral Health Llc | |
|
841 W Cholla St Casa Grande AZ 85122-2240 | |
| (702) 502-8953 | |
| Not Available |
| Full Name | Princes Passion Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 841 W Cholla St, Casa Grande, Arizona |
| Authorized Official Name and Position | Prince Pollard (OWNER) |
| Authorized Official Contact | 7025028953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Princes Passion Behavioral Health Llc 841 W Cholla St Casa Grande AZ 85122-2240 Ph: (702) 502-8953 | Princes Passion Behavioral Health Llc 841 W Cholla St Casa Grande AZ 85122-2240 Ph: (702) 502-8953 |
| NPI Number | 1538859947 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538859947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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