# DAYLIGHT PSYCHIATRIC CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689352866
- **Authorized official:** MARCUS ERNEST KONYI KOMETA NURSE PRACTITIONER (DIRECTOR)
- **Authorized official phone:** (480) 252-3484

## Contact information

- **Practice address:** 3101 N CENTRAL AVE STE 183, PHOENIX, AZ 85012-3616
- **Practice address phone:** (480) 252-3484
- **Mailing address:** 6811 W PLEASANT LN, LAVEEN, AZ 85339-2660
- **Mailing address phone:** (480) 252-3484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2023
- **Last updated:** 08/21/2023