| Jacob's Hope, Inc. | |
|
1150 N Country Club Dr # 12a Mesa AZ 85201-2537 | |
| (602) 618-6620 | |
| Not Available |
| Full Name | Jacob's Hope, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1150 N Country Club Dr # 12a, Mesa, Arizona |
| Authorized Official Name and Position | Jo Jones (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6026186620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob's Hope, Inc. 1150 N Country Club Dr # 12a Mesa AZ 85201-2537 Ph: (602) 618-6620 | Jacob's Hope, Inc. 1150 N Country Club Dr # 12a Mesa AZ 85201-2537 Ph: (602) 618-6620 |
| NPI Number | 1215775846 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215775846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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