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Organization
MONSOON WELLNESS
Active
Organization
MONSOON WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MURPHY PORTLEY MD (PSYCHIATRIST)
(602) 635-8884
Entity
Organization
Contact information
Practice address
2320 E BASELINE RD STE 148-225, PHOENIX, AZ 85042-6960
(602) 635-8884
Mailing address
2320 E BASELINE RD STE 148-225, PHOENIX, AZ 85042-6960
(602) 635-8884
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357718
—
AZ
Enumeration date
10/19/2019
Last updated
10/19/2019
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