Organization
DAYLIGHT PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS ERNEST KONYI KOMETA NURSE PRACTITIONER (DIRECTOR)
(480) 252-3484
Entity
Organization
Contact information
Practice address
3101 N CENTRAL AVE STE 183, PHOENIX, AZ 85012-3616
(480) 252-3484
Mailing address
6811 W PLEASANT LN, LAVEEN, AZ 85339-2660
(480) 252-3484
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
08/21/2023
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