| A Willows Grace | |
|
1220 S Alma School Rd Ste 103 Mesa AZ 85210-2078 | |
| (602) 291-7364 | |
| Not Available |
| Full Name | A Willows Grace |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1220 S Alma School Rd Ste 103, Mesa, Arizona |
| Authorized Official Name and Position | Crystal Bennett (OWNER) |
| Authorized Official Contact | 6022917364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Willows Grace Po Box 40382 Mesa AZ 85274-0382 Ph: () - | A Willows Grace 1220 S Alma School Rd Ste 103 Mesa AZ 85210-2078 Ph: (602) 291-7364 |
| NPI Number | 1366114852 |
|---|---|
| Provider Enumeration Date | 10/02/2021 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366114852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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