Prosper Az
NPI #1982201299 in Avondale, Arizona
Provider Information
- NPI Number
- 1982201299
- Entity Type
- Organization
- Organization Name
- Prosper Az
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 8, 2020
- Last Updated
- Oct 27, 2021
Practice Location
Authorized Official
- Name
- ELONDA WILSON
- Title
- ADMINISTRATOR
- Phone
- (602) 899-3015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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