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Wallace'S Place

Community/Behavioral Health Agency in Peoria, AZ · enumerated 2008 · authorized official Cynthia Clark, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649441866

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Registry record

Entity type Organization (Type 2)
Legal business name Wallace'S Place
Practice address 9636 W Oberlin Way, Peoria, AZ, 85383
Fax (623) 825-4639
Enumeration date Mar 15, 2008
Last updated in NPPES Mar 15, 2008

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Cynthia Clark
Title Executive Director

Other identifiers

Identifier Type State Issuer
304367 Other AZ AHCCCS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Wallace'S Place located?
The practice location on file with NPPES is in Peoria, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-03-15. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-15.