Organization
GILGAL PHOENIX WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE REBECCA TUSIIME (CEO)
(602) 489-6300
Entity
Organization
Contact information
Practice address
4040 E MCDOWELL RD STE 308, PHOENIX, AZ 85008-4447
(602) 489-6300
Mailing address
8025 S 47TH LN, LAVEEN, AZ 85339-2393
(602) 489-6300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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