Organization
BTH MENTAL WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA FONTENETTE (OPERATIONS MANAGER)
(520) 521-4401
Entity
Organization
Contact information
Practice address
2920 N 24TH AVE STE 100, PHOENIX, AZ 85015-5958
(520) 521-4401
Mailing address
2920 N 24TH AVE STE 100, PHOENIX, AZ 85015-5958
(520) 521-4401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23457742
—
AZ
Enumeration date
01/03/2023
Last updated
01/03/2023
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