BLOOMING AGAVE WELLNESS LLC

PHOENIX, AZ
NPI1053144154
Entity TypeOrganization
Authorized ContactJOSHUA PHILLIPS
Therapist/Owner
970-260-8286
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2024-08-23
Last Update Date2024-08-23
Business Address
BLOOMING AGAVE WELLNESS LLC
4117 N 17TH ST
PHOENIX, AZ 85016-5921
Phone number: 623-239-2312
Mailing Address
BLOOMING AGAVE WELLNESS LLC
16609 N 34TH PL
PHOENIX, AZ 85032-2776
Phone number: 970-260-8286
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