| Denova Collaborative Health | |
|
2204 S Dobson Rd Ste 201 Mesa AZ 85202-6457 | |
| (602) 230-7373 | |
| (602) 682-7455 |
| Full Name | Denova Collaborative Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2204 S Dobson Rd Ste 201, Mesa, Arizona |
| Authorized Official Name and Position | Graham Johnson (CEO) |
| Authorized Official Contact | 6022307373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denova Collaborative Health 3101 N Central Ave Ste 500 Phoenix AZ 85012-2639 Ph: (602) 230-7373 | Denova Collaborative Health 2204 S Dobson Rd Ste 201 Mesa AZ 85202-6457 Ph: (602) 230-7373 |
| NPI Number | 1881115558 |
|---|---|
| Provider Enumeration Date | 07/03/2017 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881115558 | NPI | - | NPPES |
| PENDING | Medicaid | AZ |
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