Organization
INTEGRATED WELLNESS CENTER LLC
Active
Organization
INTEGRATED WELLNESS CENTER LLC
Active
Other names
RT Builders LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAVIKULASINGHAM THURAISINGAM (ADMINISTRATOR)
(650) 847-8861
Entity
Organization
Contact information
Practice address
2316 W NORTHERN AVE, PHOENIX, AZ 85021-4935
(602) 838-7799
(602) 844-2525
Mailing address
5523 S JOLLY ROGER RD, TEMPE, AZ 85283-2118
(650) 847-8861
(602) 844-2525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/30/2023
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