IndividualActive
Abdul Mansaray
NPI 1053987628 · Mental Health Clinic/Center (Including Community Mental Health Center) · Phoenix, AZ
Provider details
- NPI number
- 1053987628
- Entity type
- Individual
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
Practice location
1990 W Camelback Rd
Phoenix, AZ 85015-3462
Phone: (623) 295-6057
Approximate (ZIP-level) locationGet directions
Mailing address
225 S 125th Ave
Avondale, AZ 85323-8336
Additional practice locations (1)
- 225 S 125th AveAvondale, AZ 85323-8336Phone: (623) 466-2660
Registry dates
- Enumerated
- 2021-06-03
- Last updated
- 2022-12-14
- Certified
- 2022-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.