Organization
COMMUNITY HOPE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAUD KOLEOSHO NP (ADMIN)
(520) 431-8744
Entity
Organization
Contact information
Practice address
14001 N 7TH ST STE A101, PHOENIX, AZ 85022-4382
(520) 431-8744
Mailing address
414 W KNIGHT LN, TEMPE, AZ 85284-1369
(623) 225-1240
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC11822
AZDHS-MEDICAL FACILITIES LICENSING
AZ
Enumeration date
07/18/2022
Last updated
07/18/2022
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