Organization
CACTUS WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE UMOREN (MANAGER)
(224) 595-0112
Entity
Organization
Contact information
Practice address
6037 S 30TH DR, PHOENIX, AZ 85041-6208
(224) 595-0112
Mailing address
6037 S 30TH DR, PHOENIX, AZ 85041-6208
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/26/2022
Last updated
03/26/2022
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