Organization
COMMUNITY HOPE WELLNESS CENTER
Active
Other names
COMMUNITY HOPE WELLNESS CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM MUTWOL (CEO)
(623) 225-1240
Entity
Organization
Contact information
Practice address
2222 S DOBSON RD STE 101, MESA, AZ 85202-6483
(520) 431-8744
Mailing address
2222 S DOBSON RD STE 101, MESA, AZ 85202-6483
(520) 431-8744
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC12087
AZDHS
AZ
Enumeration date
01/18/2023
Last updated
01/18/2023
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