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Terence Tarell Walker, STUDENT
Substance Abuse Rehabilitation Facility in Glendale, Arizona
NPI 1083373237

Terence Tarell Walker is a Substance Abuse Rehabilitation Facility based in Glendale, AZ. Terence Tarell Walker practices in Glendale, AZ and has the professional credentials of STUDENT. The NPI Number for Terence Tarell Walker is 1083373237 and holds a License No. (Arizona).

The current practice location address for Terence Tarell Walker is 9610 N 52Nd Ln, Glendale, AZ and can be reached out via phone at 773-600-4302. You can also correspond with Terence Tarell Walker through the mailing address at 9610 N 52ND LN, GLENDALE, AZ - 85302-3416 (mailing address contact number: 773-600-4302).

Location: 9610 N 52Nd Ln, Glendale, AZ, 85302-3416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083373237
Provider Name
Terence Tarell Walker
Credential
STUDENT
Provider Entity Type
Individual
Gender
Male
Address
9610 N 52Nd Ln, Glendale, AZ, 85302-3416
Phone Number
773-600-4302
Fax Number
Provider Enumeration Date
12/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9610 N 52Nd Ln
City
Glendale
State
Arizona
Zip
85302-3416
Phone Number
773-600-4302
Fax Number
person
Provider Business Mailing Address Details
Address
9610 N 52Nd Ln
City
Glendale
State
Arizona
Zip
85302-3416
Phone Number
773-600-4302
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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