OrganizationActive
Audacious Living LLC
NPI 1326652652 · Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1326652652
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cassandra Hildreth, Owner(702) 683-5187
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1922 W Las Palmaritas Dr Apt J110
Phoenix, AZ 85021-5041
Phone: (702) 683-5187
Approximate (ZIP-level) locationGet directions
Mailing address
1922 W Las Palmaritas Dr Apt J110
Phoenix, AZ 85021-5041
Registry dates
- Enumerated
- 2020-09-03
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.