Eternity Services LLC

NPI #1013646678 in Phoenix, Arizona

Provider Information

NPI Number: 1013646678
Entity Type: Organization
Organization Name: Eternity Services LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 8, 2022
Last Updated: Jun 8, 2022

Practice Location

Address: 2200 W BETHANY HOME RD STE 1
City: Phoenix
State: Arizona
ZIP Code: 85015-1937
Phone: (602) 601-4104

Authorized Official

Name: DERRICK MONTGOMERY
Title: MANAGING PARTNER
Phone: (602) 621-5126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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