| Living Hope Clinic Llc | |
|
5251 W Campbell Ave Ste 208 Phoenix AZ 85031-1719 | |
| (207) 966-6134 | |
| Not Available |
| Full Name | Living Hope Clinic Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5251 W Campbell Ave Ste 208, Phoenix, Arizona |
| Authorized Official Name and Position | Justin Nizeye Jenson (CEO) |
| Authorized Official Contact | 2076996134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Hope Clinic Llc 5251 W Campbell Ave Ste 208 Phoenix AZ 85031-1719 Ph: (207) 966-6134 | Living Hope Clinic Llc 5251 W Campbell Ave Ste 208 Phoenix AZ 85031-1719 Ph: (207) 966-6134 |
| NPI Number | 1588426266 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588426266 | NPI | - | NPPES |
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