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Organization
BEACON WELLNESS CENTER LLC
Active
Organization
BEACON WELLNESS CENTER LLC
Active
Other names
BEACON WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON DUPREE TROTTER (CEO)
(480) 375-5937
Entity
Organization
Contact information
Practice address
21258 E RITTENHOUSE RD STE 104, QUEEN CREEK, AZ 85142-9340
(480) 306-4127
Mailing address
21258 E RITTENHOUSE RD STE 104, QUEEN CREEK, AZ 85142-9340
(480) 306-4127
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
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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