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Organization

BE WISE WELLNESS CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDI CAUDELL (ADMINISTRATOR)
(602) 486-4328
Entity
Organization

Contact information

Practice address
5830 N 19TH AVE BLDG B, PHOENIX, AZ 85015-2494
(800) 817-6437
Mailing address
PO BOX 464, PEORIA, AZ 85380-0464
(480) 664-4641
(800) 793-4656

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
12/17/2024
Last updated
12/17/2024
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