Organization
GOOD SAMARITAN HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A DANIELS (OWNER)
(480) 707-1423
Entity
Organization
Contact information
Practice address
7346 E MELROSE ST, MESA, AZ 85207-2071
(480) 707-1423
Mailing address
7346 E MELROSE ST, MESA, AZ 85207-2071
(480) 707-1423
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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