Organization
GENERATIONAL WELLNESS BEHAVIORAL HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA NORRIS (CEO)
(623) 552-0524
Entity
Organization
Contact information
Practice address
10559 N 99TH AVE STE 2, PEORIA, AZ 85345-5413
(623) 552-0524
Mailing address
10559 N 99TH AVE STE 2, PEORIA, AZ 85345-5413
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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