| Revamp Wellness Center | |
|
410 E Southern Ave Tempe AZ 85282-5212 | |
| (480) 747-4623 | |
| Not Available |
| Full Name | Revamp Wellness Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 410 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Phillis Chepkorir Mutembete (OWNER) |
| Authorized Official Contact | 4807474623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revamp Wellness Center 410 E Southern Ave Tempe AZ 85282-5212 Ph: (480) 747-4623 | Revamp Wellness Center 410 E Southern Ave Tempe AZ 85282-5212 Ph: (480) 747-4623 |
| NPI Number | 1740981380 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740981380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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