NPI 1073319968
Az Interact LLC
Practice location
- Address
- 6427 W Wethersfield Rd, Glendale, AZ 85304-1629
- Phone
- (602) 410-3606
- Fax
- (623) 398-8980
- Mailing address
- 2325 W Desperado Way, Phoenix, AZ 85085-5777
Authorised official
- Name
- Carlos Torres
- Title
- Administrator
- Phone
- (602) 410-3606
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1073319968
- Entity type
- Organization
- NPI issued
- 20 Feb 2025
- Record last updated
- 21 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.