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CINDY HICKS

Assisted Living, Mental Illness

Glendale, Arizona

Provider NPI: 1720130404

Organization Information:
Organization Name:  CINDY HICKS


Practice Location:
4602 W MONTE CRISTO AVE  GLENDALE, AZ 85306 US
Tel: 602-547-9682  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
AZBH2617

Other Provider Identifiers:

IssuerNumberStateType
BEHAVIORAL HEALTH LICENSEBH2617AZ01
016782AZ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS AZ - Page 1



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