| Christian3 Mega Clinic Llc | |
|
3707 E Southern Ave # 2704 Mesa AZ 85206-2569 | |
| (661) 383-3822 | |
| Not Available |
| Full Name | Christian3 Mega Clinic Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3707 E Southern Ave # 2704, Mesa, Arizona |
| Authorized Official Name and Position | Margaret Nsubuga Kayiira (CEO) |
| Authorized Official Contact | 6613833822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian3 Mega Clinic Llc 3707 E Southern Ave # 2704 Mesa AZ 85206-2569 Ph: (661) 383-3822 | Christian3 Mega Clinic Llc 3707 E Southern Ave # 2704 Mesa AZ 85206-2569 Ph: (661) 383-3822 |
| NPI Number | 1215634928 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 09/08/2024 |
| Certification Date | 09/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215634928 | NPI | - | NPPES |
| 000000000 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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