| Fortuna Healthcare Center Inc | |
|
4040 E Mcdowell Rd Ste 411 Phoenix AZ 85008-4448 | |
| (602) 773-6955 | |
| Not Available |
| Full Name | Fortuna Healthcare Center Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4040 E Mcdowell Rd Ste 411, Phoenix, Arizona |
| Authorized Official Name and Position | Bakali Mukasa (DIRECTOR) |
| Authorized Official Contact | 7743275346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortuna Healthcare Center Inc 4040 E Mcdowell Rd Ste 411 Phoenix AZ 85008-4448 Ph: () - | Fortuna Healthcare Center Inc 4040 E Mcdowell Rd Ste 411 Phoenix AZ 85008-4448 Ph: (602) 773-6955 |
| NPI Number | 1700567450 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700567450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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