Organization
PRIME WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEO TUMWINE (CEO)
(857) 544-6282
Entity
Organization
Contact information
Practice address
16605 N 28TH AVE STE A104, PHOENIX, AZ 85053-7551
(602) 607-5151
(602) 607-5206
Mailing address
16605 N 28TH AVE STE A104, PHOENIX, AZ 85053-7551
(602) 607-5151
(602) 607-5206
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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