| Project Breakthrough Wellness Center Llc | |
|
334 W 10th Pl Ste 103 Mesa AZ 85201-3499 | |
| (916) 273-0680 | |
| Not Available |
| Full Name | Project Breakthrough Wellness Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 334 W 10th Pl Ste 103, Mesa, Arizona |
| Authorized Official Name and Position | Kimberly Weaver (CEO) |
| Authorized Official Contact | 9162730680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Breakthrough Wellness Center Llc 334 W 10th Pl Ste 103 Mesa AZ 85201-3499 Ph: (916) 273-0680 | Project Breakthrough Wellness Center Llc 334 W 10th Pl Ste 103 Mesa AZ 85201-3499 Ph: (916) 273-0680 |
| NPI Number | 1063002616 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063002616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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