Organization
TANDEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MUTABARUKA (DIRECTOR)
(469) 247-1824
Entity
Organization
Contact information
Practice address
2970 E SANTA ROSA DR, GILBERT, AZ 85234-1448
(469) 247-1824
Mailing address
2970 E SANTA ROSA DR, GILBERT, AZ 85234-1448
(469) 247-1824
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/17/2023
Last updated
08/21/2023
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