Provider Demographics
NPI:1790187318
Name:COME UNTO ME BEHAVIORAL HEALTH, INC
Entity Type:Organization
Organization Name:COME UNTO ME BEHAVIORAL HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICA
Authorized Official - Middle Name:
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-374-8267
Mailing Address - Street 1:11225 N 28TH DR
Mailing Address - Street 2:SUITE A101
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-5606
Mailing Address - Country:US
Mailing Address - Phone:602-374-8267
Mailing Address - Fax:602-863-3987
Practice Address - Street 1:11225 N 28TH DR
Practice Address - Street 2:SUITE A101
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-5606
Practice Address - Country:US
Practice Address - Phone:602-374-8267
Practice Address - Fax:602-863-3987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health