| Ideal Treatment Center Llc | |
|
1717 W Northern Ave Ste 107 Phoenix AZ 85021-5400 | |
| (602) 612-2305 | |
| Not Available |
| Full Name | Ideal Treatment Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1717 W Northern Ave Ste 107, Phoenix, Arizona |
| Authorized Official Name and Position | Aimee Uwimana (NURSE PRACTITIONER) |
| Authorized Official Contact | 6023990134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Treatment Center Llc 1717 W Northern Ave Ste 107 Phoenix AZ 85021-5400 Ph: (602) 612-2305 | Ideal Treatment Center Llc 1717 W Northern Ave Ste 107 Phoenix AZ 85021-5400 Ph: (602) 612-2305 |
| NPI Number | 1336837616 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336837616 | NPI | - | NPPES |
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