| Titan Conglomerate Llc | |
|
12309 W Cambridge Ave Avondale AZ 85392-5575 | |
| (213) 922-0708 | |
| Not Available |
| Full Name | Titan Conglomerate Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12309 W Cambridge Ave, Avondale, Arizona |
| Authorized Official Name and Position | Demonte Willias (MANAGER) |
| Authorized Official Contact | 2139220708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Titan Conglomerate Llc 12309 W Cambridge Ave Avondale AZ 85392-5575 Ph: (213) 922-0708 | Titan Conglomerate Llc 12309 W Cambridge Ave Avondale AZ 85392-5575 Ph: (213) 922-0708 |
| NPI Number | 1457199945 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457199945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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