Organization
WILWAMH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON KAHUNYO CEO (CEO)
(508) 423-9444
Entity
Organization
Contact information
Practice address
6705 E FLYNN AVE, FLORENCE, AZ 85132-5110
(480) 787-6790
Mailing address
619 E LESLIE AVE, SAN TAN VALLEY, AZ 85140-4148
(508) 423-9444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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