institution
Supreme Positive Innovation Services Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, Arizona
NPI 1215544903

Supreme Positive Innovation Services Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Mesa, AZ and is specialized in Mental Health (Including Community Mental Health Center). Supreme Positive Innovation Services Llc practices in Mesa, AZ. The NPI Number for Supreme Positive Innovation Services Llc is 1215544903 and holds a License No. (Arizona).

The current practice location address for Supreme Positive Innovation Services Llc is 1833 W Main St Ste 139-140, Mesa, AZ and can be reached out via phone at 602-757-6786.

Location: 1833 W Main St Ste 139-140, Mesa, AZ, 85201-6922
institution
Provider Profile Details
NPI Number
1215544903
Provider Name
Supreme Positive Innovation Services Llc
Credential
Provider Entity Type
Organization
Address
1833 W Main St Ste 139-140, Mesa, AZ, 85201-6922
Phone Number
602-757-6786
Fax Number
Provider Enumeration Date
09/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1833 W Main St Ste 139-140
City
State
Zip
85201-6922
Phone Number
602-757-6786
Fax Number
person
Provider Business Mailing Address Details
Address
1833 W Main St Ste 139-140
City
State
Zip
85201-6922
Phone Number
602-757-6786
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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