Organization
PROJECT BREAKTHROUGH WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WEAVER (CEO)
(916) 273-0680
Entity
Organization
Contact information
Practice address
334 W 10TH PL STE 103, MESA, AZ 85201-3499
(916) 273-0680
Mailing address
334 W 10TH PL STE 103, MESA, AZ 85201-3499
(916) 273-0680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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