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Obsidian Health And Wellness Llc
Adolescent and Children Mental Health Clinic/Center in Litchfield Park, Arizona
NPI 1417593575

Obsidian Health And Wellness Llc is an Adolescent and Children Mental Health Clinic/Center based in Litchfield Park, AZ and is specialized in Adolescent and Children Mental Health. Obsidian Health And Wellness Llc practices in Litchfield Park, AZ. The NPI Number for Obsidian Health And Wellness Llc is 1417593575 and holds a License No. (Arizona).

The current practice location address for Obsidian Health And Wellness Llc is 13321 W Indian School Rd Ste A107, Litchfield Park, AZ and can be reached out via phone at 623-293-2232 and via fax at 623-321-9524.

Location: 13321 W Indian School Rd Ste A107, Litchfield Park, AZ, 85340-4339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417593575
Provider Name
Obsidian Health And Wellness Llc
Credential
Provider Entity Type
Organization
Address
13321 W Indian School Rd Ste A107, Litchfield Park, AZ, 85340-4339
Phone Number
623-293-2232
Fax Number
623-321-9524
Provider Enumeration Date
11/25/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
435346 05 AZ
institution
Provider Business Practice Location Address Details
Address
13321 W Indian School Rd Ste A107
City
Litchfield Park
State
Arizona
Zip
85340-4339
Phone Number
623-293-2232
Fax Number
623-321-9524
person
Provider Business Mailing Address Details
Address
13321 W Indian School Rd Ste A107
City
Litchfield Park
State
Arizona
Zip
85340-4339
Phone Number
623-293-2232
Fax Number
623-321-9524
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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