Organization
ARIZONA INTERGRATED TELE PSYCHIATRY AND TELE MEDICINE SERVICES LLC
Active
Organization
ARIZONA INTERGRATED TELE PSYCHIATRY AND TELE MEDICINE SERVICES LLC
Active
Other names
AZITTS
Organization subpart
No
Provider details
NPI number
Authorized official
MEDINA KAMAU NP (PROVIDER)
(480) 867-1722
Entity
Organization
Contact information
Practice address
2729 E MAIN ST STE 101-102, MESA, AZ 85213-9228
(480) 867-1722
(480) 867-1709
Mailing address
2735 E MAIN ST STE 2&3, MESA, AZ 85213-9269
(480) 867-1722
(480) 867-1709
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
364SF0001X
Family Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
04/16/2024
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