| Diamond Health & Wellness Center Llc | |
|
4936 W Glass Ln Laveen AZ 85339-8218 | |
| (602) 706-4403 | |
| Not Available |
| Full Name | Diamond Health & Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4936 W Glass Ln, Laveen, Arizona |
| Authorized Official Name and Position | Shanese Diamond (OWNER) |
| Authorized Official Contact | 6027064403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Health & Wellness Center Llc 4936 W Glass Ln Laveen AZ 85339-8218 Ph: () - | Diamond Health & Wellness Center Llc 4936 W Glass Ln Laveen AZ 85339-8218 Ph: (602) 706-4403 |
| NPI Number | 1790489060 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790489060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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