| Resilient Integrated Treatment Center Llc | |
|
550 W Baseline Rd Ste 102-330 Mesa AZ 85210-6040 | |
| (214) 971-3192 | |
| Not Available |
| Full Name | Resilient Integrated Treatment Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 550 W Baseline Rd Ste 102-330, Mesa, Arizona |
| Authorized Official Name and Position | Ikechi Ikechi (OWNER) |
| Authorized Official Contact | 2149713192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Integrated Treatment Center Llc 550 W Baseline Rd Ste 102-330 Mesa AZ 85210-6040 Ph: () - | Resilient Integrated Treatment Center Llc 550 W Baseline Rd Ste 102-330 Mesa AZ 85210-6040 Ph: (214) 971-3192 |
| NPI Number | 1922743202 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 05/02/2022 |
| Certification Date | 05/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922743202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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