Organization
ELEVATE ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER NEIL SIMMONS MD, MPH, FACEP (CHIEF MEDICAL OFFICER)
(480) 428-8022
Entity
Organization
Contact information
Practice address
3208 N LADERA CIR, MESA, AZ 85207-0810
(480) 428-8022
Mailing address
3208 N LADERA CIR, MESA, AZ 85207-0810
(480) 428-8022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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