Organization
ESSENCE OF WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. QUAJERAH M CHARLES (ADMINISTRATOR)
(602) 622-9594
Entity
Organization
Contact information
Practice address
11630 W BLOOMFIELD RD, EL MIRAGE, AZ 85335-3915
(602) 622-9594
Mailing address
1520 S 216TH LN, BUCKEYE, AZ 85326-8030
(602) 620-4377
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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