Organization
PROSPER INTEGRATED HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELONDA WILSON (COO)
(860) 690-5309
Entity
Organization
Contact information
Practice address
10750 W MCDOWELL RD STE C305, AVONDALE, AZ 85392-5964
(623) 755-5679
Mailing address
PO BOX 5135, SUN CITY WEST, AZ 85376-5135
(860) 690-5309
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/20/2021
Last updated
11/06/2023
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