| Solace Wellness Management Service, Llc | |
|
4203 S 37th St Phoenix AZ 85040-1813 | |
| (480) 704-4707 | |
| Not Available |
| Full Name | Solace Wellness Management Service, Llc |
|---|---|
| Speciality | Psychologist - Rehabilitation |
| Location | 4203 S 37th St, Phoenix, Arizona |
| Authorized Official Name and Position | Ezekiel Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4807044707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solace Wellness Management Service, Llc 4203 S 37th St Phoenix AZ 85040-1813 Ph: (480) 704-4707 | Solace Wellness Management Service, Llc 4203 S 37th St Phoenix AZ 85040-1813 Ph: (480) 704-4707 |
| NPI Number | 1912250119 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 05/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912250119 | NPI | - | NPPES |
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