| Mestiny Behavioral Llc | |
|
11417 N 33rd Ave Phoenix AZ 85029-3236 | |
| (623) 552-0135 | |
| Not Available |
| Full Name | Mestiny Behavioral Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 11417 N 33rd Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Samuel Oghenejabor (CEO) |
| Authorized Official Contact | 6235520135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mestiny Behavioral Llc 11417 N 33rd Ave Phoenix AZ 85029-3236 Ph: (623) 552-0135 | Mestiny Behavioral Llc 11417 N 33rd Ave Phoenix AZ 85029-3236 Ph: (623) 552-0135 |
| NPI Number | 1104514694 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104514694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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