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DOMINIQUE GIST
Psychiatric Residential Treatment Facility
NPI: 1629674742Individual
Specialties, Licenses & Credentials
Community Based Residential Treatment Facility, Mental Illness
Code: 320800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Code: 332800000X
Psychiatric Residential Treatment Facility
Code: 323P00000X
Contact & Hours
- Address
- 8674 S 165TH AVE
GOODYEAR, AZ 85338 - Phone
- (313) 434-6821
Quick Facts
- NPI
- 1629674742
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 5
- Locations
- 1
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