| Spirit-mind-body Outpatient Treatment Center | |
|
9950 W Van Buren St Ste 115 Avondale AZ 85323-5318 | |
| (623) 218-6691 | |
| Not Available |
| Full Name | Spirit-mind-body Outpatient Treatment Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9950 W Van Buren St Ste 115, Avondale, Arizona |
| Authorized Official Name and Position | Ezinne Iroku (CEO) |
| Authorized Official Contact | 6232186691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit-mind-body Outpatient Treatment Center 8017 W Albeniz Pl Phoenix AZ 85043-1698 Ph: () - | Spirit-mind-body Outpatient Treatment Center 9950 W Van Buren St Ste 115 Avondale AZ 85323-5318 Ph: (623) 218-6691 |
| NPI Number | 1740931625 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740931625 | NPI | - | NPPES |
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