Organization
NECKUP CHECKUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JORONDA AISHA MONTANO MPA (CEO)
(480) 227-6984
Entity
Organization
Contact information
Practice address
5130 E WARNER RD, PHOENIX, AZ 85044-3363
(480) 227-6984
Mailing address
2030 W BASELINE RD # 182-150, PHOENIX, AZ 85041-6574
(480) 227-6984
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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