AUDACIOUS LIVING LLC NPI 1326652652

NPI Information

AUDACIOUS LIVING LLC is a clinic center in Phoenix, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AUDACIOUS LIVING LLC NPI is 1326652652. The provider is registered as an organization entity type.

The provider's business location address is:

1922 W LAS PALMARITAS DR APT J110
PHOENIX, AZ
ZIP 85021-041
Phone: (702) 683-5187

The provider's authorized official is Cassandra Hildreth .
The authorized official title is Owner and has the following contact phone number (702) 683-5187.

The enumeration date for this NPI number is 9/3/2020 and was last updated on 9/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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