Organization
KING'S HEART COMMUNITY HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMETRIS KING LPC (ADMINISTRATOR)
(480) 352-5490
Entity
Organization
Contact information
Practice address
2544 E UNIVERSITY DR STE 150, PHOENIX, AZ 85034-6948
(480) 352-5490
Mailing address
5045 W BASELINE RD # 105-179, LAVEEN, AZ 85339-7392
(480) 352-5490
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
04/14/2023
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