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NPI Code Detail

MEDICARE: NEIGHBORHOOD MINISTRIES INC

MEDICARE: NEIGHBORHOOD MINISTRIES 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1316693773
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEIGHBORHOOD MINISTRIES INC
Provider Business Mailing Address
First Line : 1918 W VAN BUREN ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85009-3848
Country : US
Telephone Number : 480-250-2786
Fax Number :
Provider Business Practice Location Address
First Line : 1918 W VAN BUREN ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85009-3848
Country : US
Telephone Number : 602-252-5225
Fax Number :
Authorized Official
Title or Position : MENTAL HEALTH ADVISOR
Name : ANDREW STRAVITZ
Credential :
Telephone Number : 480-250-2786
Provider Enumeration Date : 02/24/2022
Last Update Date : 02/24/2022

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Directions to “NEIGHBORHOOD MINISTRIES INC ” Practice Location

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