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Organization

COMMUNITY TIES WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REJETTA DODD-CASTRO (OWNER)
(702) 366-5219
Entity
Organization

Contact information

Practice address
777 E STELLA LN APT 137, PHOENIX, AZ 85014-0007
(702) 379-3766
Mailing address
777 E STELLA LN APT 137, PHOENIX, AZ 85014-0007

Taxonomy

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

Other

Enumeration date
08/08/2023
Last updated
08/08/2023
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