| Excella Health Centre Llc | |
|
4616 N 51st Ave Ste 212 Phoenix AZ 85031-1721 | |
| (407) 533-0871 | |
| Not Available |
| Full Name | Excella Health Centre Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4616 N 51st Ave Ste 212, Phoenix, Arizona |
| Authorized Official Name and Position | Winnie N Kamariza (CEO) |
| Authorized Official Contact | 4075330871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excella Health Centre Llc 4616 N 51st Ave Ste 212 Phoenix AZ 85031-1721 Ph: (407) 533-0871 | Excella Health Centre Llc 4616 N 51st Ave Ste 212 Phoenix AZ 85031-1721 Ph: (407) 533-0871 |
| NPI Number | 1205518552 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205518552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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