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Organization

ECLIPSE PSYCHIATRY OUTPATIENT TREATMENT CENTER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY KIMANI (OWNER)
(978) 697-0301
Entity
Organization

Contact information

Practice address
2152 S VINEYARD STE 113-114, MESA, AZ 85210-6871
(978) 697-0301
Mailing address
2152 S VINEYARD STE 113-114, MESA, AZ 85210-6871

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/17/2022
Last updated
05/17/2022
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