| Kairos Moment Healthcare And Behavioral Clinic | |
|
9652 W Patrick Ln Peoria AZ 85383-4319 | |
| (602) 410-0958 | |
| Not Available |
| Full Name | Kairos Moment Healthcare And Behavioral Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9652 W Patrick Ln, Peoria, Arizona |
| Authorized Official Name and Position | Adesola Izasomeh (NURSE PRACTITIONER) |
| Authorized Official Contact | 6024100958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kairos Moment Healthcare And Behavioral Clinic 9652 W Patrick Ln Peoria AZ 85383-4319 Ph: (602) 410-0958 | Kairos Moment Healthcare And Behavioral Clinic 9652 W Patrick Ln Peoria AZ 85383-4319 Ph: (602) 410-0958 |
| NPI Number | 1457130676 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457130676 | NPI | - | NPPES |
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