| Elite Selection Llc | |
|
2239 W Baseline Rd # D100 Tempe AZ 85283-1039 | |
| (760) 605-1799 | |
| Not Available |
| Full Name | Elite Selection Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2239 W Baseline Rd # D100, Tempe, Arizona |
| Authorized Official Name and Position | Tyreuna Beckwith (CEO) |
| Authorized Official Contact | 7606051799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Selection Llc Po Box 51003 Scottsdale AZ 85261 Ph: () - | Elite Selection Llc 2239 W Baseline Rd # D100 Tempe AZ 85283-1039 Ph: (760) 605-1799 |
| NPI Number | 1659112761 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659112761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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