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PREMIUM LEGACY HEALTHCARE INC
Mental Health Clinic/Center (Including Community Mental Health Center)
NPI: 1184327249Organization
Specialties, Licenses & Credentials
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
Clinic/Center — Mental Health (Including Community Mental Health Center)
Code: 261QM0801X
Contact & Hours
- Address
- 5062 N 19TH AVE STE 102
PHOENIX, AZ 85015 - Phone
- (773) 319-6420
Quick Facts
- NPI
- 1184327249
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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