Organization
GRANDE INTEGRATED WELLNESS SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINSTON ONYEANI (CEO)
(404) 447-0127
Entity
Organization
Contact information
Practice address
4419 N 93RD DR, PHOENIX, AZ 85037-0803
(404) 447-0127
Mailing address
4419 N 93RD DR, PHOENIX, AZ 85037-0803
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
05/01/2024
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