Sequel Tsi of Az, LLC
NPI #1790015428 in Tuba City, Arizona
Provider Information
- NPI Number
- 1790015428
- Entity Type
- Organization
- Organization Name
- Sequel Tsi of Az, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SEQUELCARE OF AZ, LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Dec 31, 2009
- Last Updated
- Dec 31, 2009
Practice Location
Authorized Official
- Name
- CHRIS BANKEN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (602) 335-2095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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