Solomon Tabe Valid NPI
Individual provider · Psychiatric Residential Treatment Facility · Laveen, AZ
- NPI
- 1336913847
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric Residential Treatment Facility
- Specialty group
- Residential Treatment Facilities
- Taxonomy code
- 323P00000X
- License number
- BH8993 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2023-11-14
- Last updated
- 2023-11-16
Practice location
6838 W Pedro Ln
Laveen, AZ 85339-4702
(301) 693-8818