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Organization

DIAMOND SOL WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL ISAAC LOPEZ MA (CEO)
(602) 488-1172
Entity
Organization

Contact information

Practice address
2127 W 5TH PL STE A, TEMPE, AZ 85281-7228
(602) 488-1172
Mailing address
2127 W 5TH PL STE A, TEMPE, AZ 85281-7228
(602) 488-1172

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QC1500X
Community Health Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
12/05/2022
Last updated
12/05/2022
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