| Fountains Of Hope Behavioral Health Llc | |
|
1017 S Gilbert Rd Ste 213 Mesa AZ 85204-4444 | |
| (732) 322-1807 | |
| Not Available |
| Full Name | Fountains Of Hope Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1017 S Gilbert Rd Ste 213, Mesa, Arizona |
| Authorized Official Name and Position | Joseph Kimani (OWNER) |
| Authorized Official Contact | 7323221807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountains Of Hope Behavioral Health Llc 1347 E Briarwood Ter Phoenix AZ 85048-8691 Ph: () - | Fountains Of Hope Behavioral Health Llc 1017 S Gilbert Rd Ste 213 Mesa AZ 85204-4444 Ph: (732) 322-1807 |
| NPI Number | 1831824184 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831824184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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