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Bertold Forlemu
Substance Use Disorder Rehabilitation Clinic/Center in San Tan Valley, Arizona
NPI 1467215590

Bertold Forlemu is a Substance Use Disorder Rehabilitation Clinic/Center based in Florence, AZ and is specialized in Rehabilitation, Substance Use Disorder. Bertold Forlemu practices in San Tan Valley, AZ. The NPI Number for Bertold Forlemu is 1467215590 and holds a License No. (Arizona).

The current practice location address for Bertold Forlemu is 606 E Press Rd, San Tan Valley, AZ and can be reached out via phone at 480-295-5878.

Location: 606 E Press Rd, San Tan Valley, AZ, 85132-5549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467215590
Provider Name
Bertold Forlemu
Credential
Provider Entity Type
Individual
Gender
Male
Address
606 E Press Rd, San Tan Valley, AZ, 85132-5549
Phone Number
480-295-5878
Fax Number
Provider Enumeration Date
02/01/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
606 E Press Rd
City
San Tan Valley
State
Arizona
Zip
85140-5469
Phone Number
480-295-5878
Fax Number
person
Provider Business Mailing Address Details
Address
606 E Press Rd
City
San Tan Valley
State
Arizona
Zip
85140-5469
Phone Number
480-295-5878
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
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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