Organization
BEACON WELLNESS CENTER LLC
Active
Other names
BEACON WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON DUPREE TROTTER (CEO)
(480) 375-5937
Entity
Organization
Contact information
Practice address
21258 E RITTENHOUSE RD STE 104, QUEEN CREEK, AZ 85142-9340
(480) 306-4127
Mailing address
21258 E RITTENHOUSE RD STE 104, QUEEN CREEK, AZ 85142-9340
(480) 306-4127
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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