Organization
FULTON & WILSON
Active
Organization
FULTON & WILSON
Active
Parent organization
FULTON & WILSON
Other names
SAN CREEK MENTAL HEALTH & WELLNESS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FULTON & WILSON
Authorized official
MR. TROY FULTON PMHNP (CEO)
(520) 614-8645
Entity
Organization
Contact information
Practice address
560 W BROWN RD STE 1011, MESA, AZ 85201-3222
(520) 614-8645
(520) 277-7480
Mailing address
560 W BROWN RD STE 1011, MESA, AZ 85201-3222
(520) 614-8645
(520) 277-7480
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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