| Community Hope Wellness Center Llc | |
|
14001 N 7th St Ste A101 Phoenix AZ 85022-4382 | |
| (520) 431-8744 | |
| Not Available |
| Full Name | Community Hope Wellness Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14001 N 7th St Ste A101, Phoenix, Arizona |
| Authorized Official Name and Position | Daud Koleosho (ADMIN) |
| Authorized Official Contact | 5204318744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Hope Wellness Center Llc 414 W Knight Ln Tempe AZ 85284-1369 Ph: (623) 225-1240 | Community Hope Wellness Center Llc 14001 N 7th St Ste A101 Phoenix AZ 85022-4382 Ph: (520) 431-8744 |
| NPI Number | 1922733641 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922733641 | NPI | - | NPPES |
| OTC11822 | Other | AZ | AZDHS-MEDICAL FACILITIES LICENSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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