Organization
SOLACE WELLNESS CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGE NGOGA (OWNER/ADMINISTRATOR)
(412) 716-6267
Entity
Organization
Contact information
Practice address
3150 N 24TH ST STE D104, PHOENIX, AZ 85016-7353
(602) 521-8159
Mailing address
3150 N 24TH ST STE D104, PHOENIX, AZ 85016-7353
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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