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Sentinel Behavioral Consulting

NPI Registration Record

Provider / OrganizationNPIDate Certified
SENTINEL BEHAVIORAL CONSULTING15488687972020-10-10
Entity TypeOrganization
Provider OrganizationSENTINEL BEHAVIORAL CONSULTING
Practice Office Address2915 N EVERGREEN ST
PHOENIX, AZ US
Practice Office Telephone5204407435
Mailing Address2915 N EVERGREEN ST
PHOENIX, AZ 850145509 US
Business Telephone5204407435
Authorized OfficialRAAKEL ELZY, CHIEF CLINICAL
5204407435
HPT Codes
CodeLicense NoState
103K00000X PRIMARY
193400000X SINGGroup Code
OPI Codes
253498 MEDICAID AZ
Governmental Registrations [CAGE/NCAGE/DUNS]

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