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Organization
SURRENDER WELLNESS CENTER
Active
Organization
SURRENDER WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINCOLN ANTHONY HARRIS II (CEO)
(602) 716-1821
Entity
Organization
Contact information
Practice address
1206 E HIGHLAND AVE UNIT 205, PHOENIX, AZ 85014-4053
(602) 716-1821
Mailing address
4949 E VANBUREN UNIT #61024, PHOENIX, AZ 85026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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