Supreme Positive Innovation Services Llc | |
1833 W Main St Ste 139-140 Mesa AZ 85201-6922 | |
(602) 757-6786 | |
Not Available |
Full Name | Supreme Positive Innovation Services Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1833 W Main St Ste 139-140, Mesa, Arizona |
Authorized Official Name and Position | Katelyn Tamas (OWNER) |
Authorized Official Contact | 6027576786 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Supreme Positive Innovation Services Llc 1833 W Main St Ste 139-140 Mesa AZ 85201-6922 Ph: () - | Supreme Positive Innovation Services Llc 1833 W Main St Ste 139-140 Mesa AZ 85201-6922 Ph: (602) 757-6786 |
NPI Number | 1003401902 |
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Provider Enumeration Date | 03/03/2021 |
Last Update Date | 03/03/2021 |
Certification Date | 03/03/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003401902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
News Archive
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