Organization
PLATINUM WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRAJE KAKOOZA (CEO)
(818) 482-0010
Entity
Organization
Contact information
Practice address
2720 E THOMAS RD STE 190B, PHOENIX, AZ 85016-8251
(818) 482-0010
Mailing address
2720 E THOMAS RD STE 190B, PHOENIX, AZ 85016-8251
(818) 482-0010
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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