Eureka Imperial Residence
Eureka Imperial Residence is a Mental Health Clinic/Center (Including Community Mental Health Center) in Gilbert, Arizona. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
633 E Ray RdGilbert, AZ 85295
Phone: (480) 264-2647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1649798752 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Eureka Imperial Residence |
| Authorized official | Cornelius Tanyi — Program Director · (480) 264-2647 |
| Other names | Changing Lives Outpatient Center |
| NPI enumerated | September 8, 2017 |
| Last updated in NPPES | September 8, 2017 |
| Mailing address | 633 E Ray Rd, Gilbert, AZ 85296-4200 |
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