| Wealth Refuge, Llc | |
|
7734 S 47th Ln Laveen AZ 85339-2388 | |
| (802) 579-8027 | |
| Not Available |
| Full Name | Wealth Refuge, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7734 S 47th Ln, Laveen, Arizona |
| Authorized Official Name and Position | Ildephonse Fayida (DIRECTOR) |
| Authorized Official Contact | 8025798027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wealth Refuge, Llc 7734 S 47th Ln Laveen AZ 85339-2388 Ph: (802) 579-8027 | Wealth Refuge, Llc 7734 S 47th Ln Laveen AZ 85339-2388 Ph: (802) 579-8027 |
| NPI Number | 1053008748 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053008748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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