Graduated: 2023
NPI: 1619220944
Practice Locations (3)
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
BLADEN HEALTHCARE LLC
501 S POPLAR ST
ELIZABETHTOWN, NC 283379375
9108621276
CUMBERLAND COUNTY HOSPITAL SYSTEM INC
1638 OWEN DR
FAYETTEVILLE, NC 283043424
9106158000
Source: CMS National Downloadable File, September 2026.