| Grand Canyon Wellness Center | |
|
2423 W Dunlap Ave Ste 110 Phoenix AZ 85021-2830 | |
| (702) 677-7410 | |
| Not Available |
| Full Name | Grand Canyon Wellness Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2423 W Dunlap Ave Ste 110, Phoenix, Arizona |
| Authorized Official Name and Position | Niecey Bolden (OWNER) |
| Authorized Official Contact | 7026777410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Canyon Wellness Center 2423 W Dunlap Ave Ste 110 Phoenix AZ 85021-2830 Ph: () - | Grand Canyon Wellness Center 2423 W Dunlap Ave Ste 110 Phoenix AZ 85021-2830 Ph: (702) 677-7410 |
| NPI Number | 1356919583 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 06/14/2021 |
| Certification Date | 06/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356919583 | NPI | - | NPPES |
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