Organization
DAYLIGHT TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS ERNEST KONYI KOMETA NURSE PRACTITIONER (DIRECTOR)
(450) 252-3484
Entity
Organization
Contact information
Practice address
9524 W ALBENIZ PL, TOLLESON, AZ 85353-4570
(480) 252-3484
Mailing address
9524 W ALBENIZ PL, TOLLESON, AZ 85353-4570
(480) 252-3484
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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