NPI 1205600541
My Brothers Keeper
Practice location
- Address
- 4425 E Agave Rd STE 102, Phoenix, AZ 85044-0620
- Phone
- (480) 265-8816
Authorised official
- Name
- Jacqueline Perrie
- Title
- Administrator
- Phone
- (480) 265-8816
Registered specialties (15)
Peer Specialist
Primary
Drama Therapist
Addiction (Substance Use Disorder) Counselor
Mental Health Counselor
Pastoral Counselor
Professional Counselor
Addiction (Substance Use Disorder) Psychologist
Case Manager/Care Coordinator
Lodging Provider
Case Management Agency
Community/Behavioral Health Agency
Early Intervention Provider Agency
Private Vehicle
Prevention Professional
Registry record
- NPI
- 1205600541
- Entity type
- Organization
- NPI issued
- 7 Nov 2023
- Record last updated
- 20 Nov 2023
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.