Organization
MINDFUL BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ISHIMWE (OWNER)
(213) 300-5303
Entity
Organization
Contact information
Practice address
3131 E CLARENDON AVE STE 106, PHOENIX, AZ 85016-7069
(213) 300-5303
Mailing address
3131 E CLARENDON AVE STE 106, PHOENIX, AZ 85016-7069
(213) 300-5303
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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