MEDICARE: DK ADVOCATES 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	:	1316197908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DK ADVOCATES INC.

Provider Business Mailing Address
First Line	:	2106 N 24TH ST
Second Line	:	SUITE A
City	:	PHOENIX
State	:	AZ
Zip	:	85008-2796
Country	:	US
Telephone Number	:	602-277-5787
Fax Number	:	602-277-7377

Provider Business Practice Location Address
First Line	:	2106 N 24TH ST
Second Line	:	SUITE A
City	:	PHOENIX
State	:	AZ
Zip	:	85008-2796
Country	:	US
Telephone Number	:	602-277-5787
Fax Number	:	602-277-7377

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DOROTHY KRET
Credential	:	CRC, CDMS
Telephone Number	:	520-790-7677

Provider Enumeration Date	:	09/19/2008
Last Update Date	:	09/19/2008

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