8632 BH Ebg LLC
Organization Active NPI Community/Behavioral Health Agency · Peoria, AZ
NPI 1437848827 · NPPES record last updated May 2, 2023
Key facts
- NPI
- 1437848827
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- 8632 BH EBG LLC
- Practice address
- 8632 W Via Montoya Dr
Peoria, AZ 85383-2050 - Phone
- (718) 926-5415
- NPI assigned
- May 2, 2023
- Organization subpart
- No
Authorized official
- Name
- Avraham Majer
- Title
- Manager
- Phone
- (718) 926-5415
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
8632 W Via Montoya Dr
Peoria, AZ 85383-2050
Mailing address
8632 W Via Montoya Dr
Peoria, AZ 85383-2050
Phone (718) 926-5415
Other names
- Enchanted Wellbriety
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.