| Elite Innovative Health Llc | |
|
325 E Baseline Rd Gilbert AZ 85233-1102 | |
| (708) 595-0973 | |
| Not Available |
| Full Name | Elite Innovative Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 325 E Baseline Rd, Gilbert, Arizona |
| Authorized Official Name and Position | William Richardson (MANAGING PARTNER) |
| Authorized Official Contact | 7085950973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Innovative Health Llc 325 E Baseline Rd Gilbert AZ 85233-1102 Ph: () - | Elite Innovative Health Llc 325 E Baseline Rd Gilbert AZ 85233-1102 Ph: (708) 595-0973 |
| NPI Number | 1881264273 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881264273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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