Organization
ADVANCED WELLNESS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IYONNA POAGS (MANAGER)
(702) 423-6322
Entity
Organization
Contact information
Practice address
3707 E SOUTHERN AVE STE 2015, MESA, AZ 85206-6213
(480) 331-9805
Mailing address
3707 E SOUTHERN AVE STE 2015, MESA, AZ 85206-6213
(480) 331-9805
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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