| Pro Amani Treatment Center Llc | |
|
11120 W Van Buren St Apt 2071 Avondale AZ 85323-0008 | |
| (951) 591-8544 | |
| Not Available |
| Full Name | Pro Amani Treatment Center Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 11120 W Van Buren St Apt 2071, Avondale, Arizona |
| Authorized Official Name and Position | Margaret Waithaka (CEO) |
| Authorized Official Contact | 9515918544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Amani Treatment Center Llc 11120 W Van Buren St Apt 2071 Avondale AZ 85323-0008 Ph: () - | Pro Amani Treatment Center Llc 11120 W Van Buren St Apt 2071 Avondale AZ 85323-0008 Ph: (951) 591-8544 |
| NPI Number | 1053062687 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053062687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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