Elite Treatment Center Llc | |
13660 N 94th Dr Ste E1 Peoria AZ 85381-4209 | |
(512) 679-3381 | |
Not Available |
Full Name | Elite Treatment Center Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 13660 N 94th Dr Ste E1, Peoria, Arizona |
Authorized Official Name and Position | Claude Mujyanama (ADMINISTRATOR) |
Authorized Official Contact | 5126793381 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elite Treatment Center Llc 13660 N 94th Dr Ste E1 Peoria AZ 85381-4209 Ph: (512) 679-3381 | Elite Treatment Center Llc 13660 N 94th Dr Ste E1 Peoria AZ 85381-4209 Ph: (512) 679-3381 |
NPI Number | 1003506841 |
---|---|
Provider Enumeration Date | 05/12/2023 |
Last Update Date | 05/13/2023 |
Certification Date | 05/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003506841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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