Organization · Type 2 NPI

Immanuel Behavioral Health Counseling Clinic

Clinic/Center · Peoria, AZ

NPI number 1104495084 Active

Practice location

11301 N 99th Ave Ste 5120
Peoria, AZ 85345-5485

Call (623) 876-6379 Map

Fax (623) 876-6379

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1104495084

Immanuel Behavioral Health Counseling Clinic's National Provider Identifier is 1104495084, issued on Jun 23, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Peoria, AZ. The record was last updated on Apr 27, 2023.