| Elite Treatment Center Llc | |
|
13660 N 94th Dr Ste E1 Peoria AZ 85381-4209 | |
| (512) 679-3381 | |
| Not Available |
| Full Name | Elite Treatment Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13660 N 94th Dr Ste E1, Peoria, Arizona |
| Authorized Official Name and Position | Claude Mujyanama (ADMINISTRATOR) |
| Authorized Official Contact | 5126793381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Treatment Center Llc 13660 N 94th Dr Ste E1 Peoria AZ 85381-4209 Ph: (512) 679-3381 | Elite Treatment Center Llc 13660 N 94th Dr Ste E1 Peoria AZ 85381-4209 Ph: (512) 679-3381 |
| NPI Number | 1003506841 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 05/13/2023 |
| Certification Date | 05/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003506841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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