| Mwcgp Outpatient Care, Inc | |
|
8650 N 35th Ave Ste 105 Phoenix AZ 85051-3835 | |
| (262) 748-2596 | |
| Not Available |
| Full Name | Mwcgp Outpatient Care, Inc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 8650 N 35th Ave Ste 105, Phoenix, Arizona |
| Authorized Official Name and Position | Nicosia King (OWNER) |
| Authorized Official Contact | 2627482596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mwcgp Outpatient Care, Inc 8828 S Santa Elizabeth Dr Goodyear AZ 85338-7013 Ph: (262) 748-2596 | Mwcgp Outpatient Care, Inc 8650 N 35th Ave Ste 105 Phoenix AZ 85051-3835 Ph: (262) 748-2596 |
| NPI Number | 1962298141 |
|---|---|
| Provider Enumeration Date | 04/16/2025 |
| Last Update Date | 04/29/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962298141 | NPI | - | NPPES |
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