Provider Demographics
NPI:1912406877
Name:TRIPLE P.P.P.
Entity Type:Organization
Organization Name:TRIPLE P.P.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TAMAR
Authorized Official - Middle Name:D
Authorized Official - Last Name:MULL
Authorized Official - Suffix:
Authorized Official - Credentials:BHP
Authorized Official - Phone:480-226-2044
Mailing Address - Street 1:5201 W SUNLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-2431
Mailing Address - Country:US
Mailing Address - Phone:480-200-5417
Mailing Address - Fax:
Practice Address - Street 1:5201 W SUNLAND AVE
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2431
Practice Address - Country:US
Practice Address - Phone:480-200-5417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty