Organization
SAMIA PSYCHIATRY IOP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MESHACK SAMIA (OWNER)
(806) 831-7159
Entity
Organization
Contact information
Practice address
1757 E BASELINE RD STE 101-103, GILBERT, AZ 85233-1532
(806) 831-7159
Mailing address
1757 E BASELINE RD STE 101-103, GILBERT, AZ 85233-1532
(806) 831-7159
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC11880
ADHS
AZ
Enumeration date
08/25/2022
Last updated
08/25/2022
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