| Restoration Therapy With Falaya Desilva Llc | |
|
3938 E Cherokee St Phoenix AZ 85044-3827 | |
| (562) 676-3502 | |
| Not Available |
| Full Name | Restoration Therapy With Falaya Desilva Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3938 E Cherokee St, Phoenix, Arizona |
| Authorized Official Name and Position | Falaya Desilva (CEO) |
| Authorized Official Contact | 5626763502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Therapy With Falaya Desilva Llc 3938 E Cherokee St Phoenix AZ 85044-3827 Ph: (562) 676-3502 | Restoration Therapy With Falaya Desilva Llc 3938 E Cherokee St Phoenix AZ 85044-3827 Ph: (562) 676-3502 |
| NPI Number | 1679236376 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679236376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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