Organization
CHRISTIAN3 MEGA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET NSUBUGA KAYIIRA RN (CEO)
(661) 383-3822
Entity
Organization
Contact information
Practice address
3707 E SOUTHERN AVE # 2704, MESA, AZ 85206-2569
(661) 383-3822
Mailing address
3707 E SOUTHERN AVE # 2704, MESA, AZ 85206-2569
(661) 383-3822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
AZ
Enumeration date
02/13/2023
Last updated
09/08/2024
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