MEDICARE: COME UNTO ME BEHAVIORAL HEALTH, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1790187318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COME UNTO ME BEHAVIORAL HEALTH, INC

Provider Business Mailing Address
First Line	:	11225 N 28TH DR STE A101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-5607
Country	:	US
Telephone Number	:	602-374-8267
Fax Number	:	602-863-3987

Provider Business Practice Location Address
First Line	:	11225 N 28TH DR
Second Line	:	SUITE A101
City	:	PHOENIX
State	:	AZ
Zip	:	85029-5606
Country	:	US
Telephone Number	:	602-374-8267
Fax Number	:	602-863-3987

Authorized Official
Title or Position	:	CEO
Name	:	ALLEN JETER
Credential	:
Telephone Number	:	480-521-4815

Provider Enumeration Date	:	09/26/2014
Last Update Date	:	12/22/2025

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