Organization
STAND TALL HEALING CENTER
Active
Other names
Stand Tall Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAYODE J WEMIMO (ADMINISTRATOR)
(623) 414-7715
Entity
Organization
Contact information
Practice address
3707 E. SOUTHERN AVENUE SUITE 2003, MESA, AZ 85206
(404) 788-5121
Mailing address
3707 E. SOUTHERN AVENUE SUITE 2003, MESA, AZ 85206
(404) 788-5121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
06/05/2023
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