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Tj Gardner Center Llc
Multi-Specialty Clinic/Center in Mesa, Arizona
NPI 1285340547

Tj Gardner Center Llc is a Multi-Specialty Clinic/Center based in Mesa, AZ and is specialized in Multi-Specialty. Tj Gardner Center Llc practices in Mesa, AZ. The NPI Number for Tj Gardner Center Llc is 1285340547 and holds a License No. (Arizona).

The current practice location address for Tj Gardner Center Llc is 1722 N Banning Ste 101B, Mesa, AZ and can be reached out via phone at 480-466-4837. You can also correspond with Tj Gardner Center Llc through the mailing address at 1722 N BANNING STE 101B, MESA, AZ - 85205-3350 (mailing address contact number: 480-466-4837).

Location: 1722 N Banning Ste 101B, Mesa, AZ, 85205-3350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285340547
Provider Name
Tj Gardner Center Llc
Credential
Provider Entity Type
Organization
Address
1722 N Banning Ste 101B, Mesa, AZ, 85205-3350
Phone Number
480-466-4837
Fax Number
Provider Enumeration Date
01/30/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1722 N Banning Ste 101B
City
Mesa
State
Arizona
Zip
85205-3350
Phone Number
480-466-4837
Fax Number
person
Provider Business Mailing Address Details
Address
1722 N Banning Ste 101B
City
Mesa
State
Arizona
Zip
85205-3350
Phone Number
480-466-4837
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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