| Multicentric Solution, Llc | |
|
17446 W Papago St Goodyear AZ 85338-1903 | |
| (919) 827-6628 | |
| Not Available |
| Full Name | Multicentric Solution, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17446 W Papago St, Goodyear, Arizona |
| Authorized Official Name and Position | Anthony Eugene Greenidge (CEO) |
| Authorized Official Contact | 9198276628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Multicentric Solution, Llc 17446 W Papago St Goodyear AZ 85338-1903 Ph: (919) 827-6628 | Multicentric Solution, Llc 17446 W Papago St Goodyear AZ 85338-1903 Ph: (919) 827-6628 |
| NPI Number | 1578235297 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578235297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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