NPI 1346018793
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Practice location
- Address
- 17100 E Shea Blvd STE 225, Fountain Hills, AZ 85268-6744
- Phone
- (602) 877-8072
Authorised official
- Name
- Fadil Labib
- Title
- Programs Director
- Phone
- (602) 545-6126
Registered specialties (3)
Prevention Professional
Primary
Peer Specialist
Transportation Broker
Registry record
- NPI
- 1346018793
- Entity type
- Organization
- NPI issued
- 14 Dec 2023
- Record last updated
- 31 Dec 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.