Organization
EMPIRE WELLNESS AND TREATMENT CENTER LLC
Active
Other names
Empire wellness and Treatment center llc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL FALLAH (CEO)
(502) 218-9762
Entity
Organization
Contact information
Practice address
1830 W COLTER ST STE 206, PHOENIX, AZ 85015-9001
(502) 218-9762
Mailing address
1830 W COLTER ST STE 206, PHOENIX, AZ 85015-9001
(502) 218-9762
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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