Provider First Line Business Practice Location Address:
7575 E EARLL DR
Provider Second Line Business Practice Location Address:
BANNER BEHAVIORAL HEALTH ECT DEPARTMENT
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85251-6915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-941-7611
Provider Business Practice Location Address Fax Number:
480-941-7641
Provider Enumeration Date:
04/10/2007