Organization
COMMUNITY TIES WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REJETTA DODD CASTRO (OWNER)
(702) 366-5219
Entity
Organization
Contact information
Practice address
2920 N 24TH AVE STE 150, PHOENIX, AZ 85015-5959
(702) 366-5219
Mailing address
777 E STELLA LN APT 137, PHOENIX, AZ 85014-0007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/17/2023
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