Organization
PREMIUM MENTAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MAIGUA PMHNP-BC DNP (OWNER)
(480) 434-3251
Entity
Organization
Contact information
Practice address
36322 W ALHAMBRA ST, MARICOPA, AZ 85138-5308
(480) 434-3251
Mailing address
625 W SOUTHERN AVE STE E, MESA, AZ 85210-5018
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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