Organization
CALM INTEGRATED HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KABWAYI KABONGO (OWNER)
(480) 434-0388
Entity
Organization
Contact information
Practice address
185 N APACHE TRL STE 1, APACHE JUNCTION, AZ 85120-3970
(480) 434-0388
Mailing address
185 N APACHE TRL STE 1, APACHE JUNCTION, AZ 85120-3970
(480) 434-0388
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC11856
ADHS-ARIZONA DEP OF HEALTH SERVICES
AZ
Enumeration date
08/03/2022
Last updated
08/03/2022
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