NPI 1083643738
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Practice location
- Address
- 4212 N 16th St, Phoenix, AZ 85016-5319
- Phone
- (602) 263-1200
- Fax
- (602) 200-5383
- Mailing address
- PO Box 95460, Cleveland, OH 44101-0033
Authorised official
- Name
- Laura a Tillman
- Title
- Cmo
- Phone
- (602) 581-6080
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1083643738
- Entity type
- Organization
- NPI issued
- 2 Jul 2006
- Record last updated
- 19 Mar 2024
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.