Organization
EXCENTRA CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTI CIES DEPUE MSED (PRESIDENT)
(602) 451-4799
Entity
Organization
Contact information
Practice address
8947 E QUILL ST, MESA, AZ 85207-9724
(602) 451-4799
Mailing address
8947 E QUILL ST, MESA, AZ 85207-9724
(602) 451-4799
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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