Organization · Type 2 NPI
Light Center Behavioral Health LLC
Adult Mental Health Clinic/Center · Phoenix, AZ
NPI number
1700598489
Active
Practice location
6619 N 19th Ave # C1
Phoenix, AZ 85015-1631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1700598489
Light Center Behavioral Health LLC's National Provider Identifier is 1700598489, issued on Dec 14, 2022. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 14, 2022.