Organization · Type 2 NPI
Engaging Life Center
Multi-Specialty Clinic/Center · Youngtown, AZ
NPI number
1679112619
Active
Practice location
12600 N 113th Ave Ste B9
Youngtown, AZ 85363-1163
Fax (602) 715-0647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Prescribing (Medical) Psychologist | 103TP0016X | None listed |
| Community Health Clinic/Center | 261QC1500X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Clinical Medical Laboratory | 291U00000X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1679112619
Engaging Life Center's National Provider Identifier is 1679112619, issued on Dec 21, 2019. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Youngtown, AZ. The record was last updated on Jun 19, 2020.