| Seed Sower Llc | |
|
11526 W Bloomfield Rd El Mirage AZ 85335-3916 | |
| (206) 859-0123 | |
| Not Available |
| Full Name | Seed Sower Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11526 W Bloomfield Rd, El Mirage, Arizona |
| Authorized Official Name and Position | Nathan L Jackson (FOUNDER AND DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2068590123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seed Sower Llc 11526 W Bloomfield Rd El Mirage AZ 85335-3916 Ph: () - | Seed Sower Llc 11526 W Bloomfield Rd El Mirage AZ 85335-3916 Ph: (206) 859-0123 |
| NPI Number | 1558968099 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 10/07/2020 |
| Certification Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558968099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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