OrganizationActive
Life Challenge, Inc.
NPI 1679246532 · Developmental Disabilities Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1679246532
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Beram, Program Coordinator(602) 254-1995
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
341 W Mcdowell Rd
Phoenix, AZ 85003-1214
Phone: (602) 254-1995
Fax: (602) 254-3123
Approximate (ZIP-level) locationGet directions
Mailing address
341 W Mcdowell Rd
Phoenix, AZ 85003-1214
Registry dates
- Enumerated
- 2021-07-27
- Last updated
- 2021-08-05
- Certified
- 2021-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.