Organization
AW MINI SERVICE LLC
Active
Other names
A&W MINI SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER WILSON JR. (OWNER/CEO)
(480) 430-0855
Entity
Organization
Contact information
Practice address
2556 N 44TH AVE, PHOENIX, AZ 85035-2382
(602) 278-2613
(602) 278-2613
Mailing address
2556 N 44TH AVE, PHOENIX, AZ 85035-2382
(602) 278-2613
(602) 278-2613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/05/2011
Last updated
08/07/2011
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