Individual provider · Type 1 NPI
Terence Tarell Walker, STUDENT
Substance Abuse Rehabilitation Facility · Glendale, AZ
NPI number
1083373237
Active
Practice location
9610 N 52nd Ln
Glendale, AZ 85302-3416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: 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.
Another provider at this address
About NPI 1083373237
Terence Tarell Walker, STUDENT's National Provider Identifier is 1083373237, issued on Dec 15, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Glendale, AZ. The record was last updated on Dec 15, 2021.