| Family Care Center, Llc | |
|
1910 S Stapley Dr Ste 209 Mesa AZ 85204-6679 | |
| (719) 540-2100 | |
| Not Available |
| Full Name | Family Care Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1910 S Stapley Dr Ste 209, Mesa, Arizona |
| Authorized Official Name and Position | Christian M Ellis (PROVIDER ENGAGEMENT & CREDENTIALING) |
| Authorized Official Contact | 7655402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Center, Llc 2860 S Circle Dr Ste 109 Colorado Springs CO 80906-4195 Ph: (719) 540-2100 | Family Care Center, Llc 1910 S Stapley Dr Ste 209 Mesa AZ 85204-6679 Ph: (719) 540-2100 |
| NPI Number | 1598535288 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598535288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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