institution
Agricola Wellness Center Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, Arizona
NPI 1447970066

Agricola Wellness Center 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). Agricola Wellness Center Llc practices in Mesa, AZ. The NPI Number for Agricola Wellness Center Llc is 1447970066 and holds a License No. (Arizona).

The current practice location address for Agricola Wellness Center Llc is 2150 S Country Club Dr Ste 29, Mesa, AZ and can be reached out via phone at 404-697-7506.

Location: 2150 S Country Club Dr Ste 29, Mesa, AZ, 85210-6860
institution
Provider Profile Details
NPI Number
1447970066
Provider Name
Agricola Wellness Center Llc
Credential
Provider Entity Type
Organization
Address
2150 S Country Club Dr Ste 29, Mesa, AZ, 85210-6860
Phone Number
404-697-7506
Fax Number
Provider Enumeration Date
09/01/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OTC11904 01 AZ ADHS
institution
Provider Business Practice Location Address Details
Address
2150 S Country Club Dr Ste 29
City
State
Zip
85210-6860
Phone Number
404-697-7506
Fax Number
person
Provider Business Mailing Address Details
Address
2150 S Country Club Dr Ste 29
City
State
Zip
85210-6860
Phone Number
404-697-7506
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.
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Definition
Definition to come...
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