# GRATITUDE MEDICAL CENTER PLLC

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

## Provider details

- **NPI number:** 1972335891
- **Authorized official:** GUSTAVO E DALOTTO (OWNER)
- **Authorized official phone:** (602) 989-5550

## Contact information

- **Practice address:** 1310 N 24TH ST \# 150A, PHOENIX, AZ 85008-4617
- **Practice address phone:** (602) 989-5550
- **Mailing address:** 1310 N 24TH ST \# 150A, PHOENIX, AZ 85008-4617
- **Mailing address phone:** (602) 989-5550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/19/2024
- **Last updated:** 10/08/2025
