Organization
ANGEL HEART HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY HANKSTON (OWNER)
(702) 888-0263
Entity
Organization
Contact information
Practice address
1641 E UNIVERSITY DR STE 101, MESA, AZ 85203-8131
(702) 888-0263
Mailing address
1641 E UNIVERSITY DR STE 101, MESA, AZ 85203-8131
(702) 888-0263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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