St. Sophie's, LLC
NPI #1336415942 in Paradise Valley, Arizona
Provider Information
- NPI Number
- 1336415942
- Entity Type
- Organization
- Organization Name
- St. Sophie's, LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 28, 2012
- Last Updated
- Mar 28, 2012
Practice Location
- Address
- 5045 E COTTONTAIL RUN RD
- City
- Paradise Valley
- State
- Arizona
- ZIP Code
- 85253-3316
- Phone
- (701) 365-4488
Authorized Official
- Name
- DR. EMMET MICHAEL KENNEY JR., MD
- Title
- PRESIDENT/CEO
- Phone
- (701) 365-4488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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