Provider Demographics
NPI:1083270854
Name:VISION WITH WINGS
Entity Type:Organization
Organization Name:VISION WITH WINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-870-3759
Mailing Address - Street 1:9617 N. METRO PKWY WEST
Mailing Address - Street 2:STE. 1214 BOX 88
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051
Mailing Address - Country:US
Mailing Address - Phone:602-870-3759
Mailing Address - Fax:866-627-0684
Practice Address - Street 1:9617 N. METRO PKWY WEST
Practice Address - Street 2:STE. 1214
Practice Address - City:PHOENIZ
Practice Address - State:AZ
Practice Address - Zip Code:85051
Practice Address - Country:US
Practice Address - Phone:602-870-3759
Practice Address - Fax:866-627-0684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable