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Organization

GREATHEARTS BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILLIS MUTEMBETE (OWNER)
(480) 747-4623
Entity
Organization

Contact information

Practice address
412 E SOUTHERN AVE, TEMPE, AZ 85282-5212
(480) 747-4623
Mailing address
412 E SOUTHERN AVE, TEMPE, AZ 85282-5212
(480) 747-4623

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
02/01/2021
Last updated
03/10/2023
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