institution
Blooming Desert Prickly Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Tempe, Arizona
NPI 1114667987

Blooming Desert Prickly Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Tempe, AZ and is specialized in Mental Health (Including Community Mental Health Center). Blooming Desert Prickly Llc practices in Tempe, AZ. The NPI Number for Blooming Desert Prickly Llc is 1114667987 and holds a License No. (Arizona).

The current practice location address for Blooming Desert Prickly Llc is 909 W Grove Pkwy Apt 2029, Tempe, AZ and can be reached out via phone at 775-287-9463. You can also correspond with Blooming Desert Prickly Llc through the mailing address at 909 W GROVE PKWY APT 2029, TEMPE, AZ - 85283-8422 (mailing address contact number: 775-287-9463).

Location: 909 W Grove Pkwy Apt 2029, Tempe, AZ, 85283-8422
institution
Provider Profile Details
NPI Number
1114667987
Provider Name
Blooming Desert Prickly Llc
Credential
Provider Entity Type
Organization
Address
909 W Grove Pkwy Apt 2029, Tempe, AZ, 85283-8422
Phone Number
775-287-9463
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000000 01 NONE
institution
Provider Business Practice Location Address Details
Address
909 W Grove Pkwy Apt 2029
City
State
Zip
85283-8422
Phone Number
775-287-9463
Fax Number
person
Provider Business Mailing Address Details
Address
909 W Grove Pkwy Apt 2029
City
State
Zip
85283-8422
Phone Number
775-287-9463
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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