| Amani Integrated Treatment Center Llc | |
|
1717 W Northern Ave Ste 202a Phoenix AZ 85021-5471 | |
| (951) 591-8544 | |
| Not Available |
| Full Name | Amani Integrated Treatment Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1717 W Northern Ave Ste 202a, Phoenix, Arizona |
| Authorized Official Name and Position | Margaret Wambui Waithaka (CEO) |
| Authorized Official Contact | 9515918544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amani Integrated Treatment Center Llc 1717 W Northern Ave Ste 202a Phoenix AZ 85021-5471 Ph: (951) 591-8544 | Amani Integrated Treatment Center Llc 1717 W Northern Ave Ste 202a Phoenix AZ 85021-5471 Ph: (951) 591-8544 |
| NPI Number | 1043920390 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 12/06/2022 |
| Certification Date | 12/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043920390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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