| NPI | 1245011006 |
|---|---|
| Doing Business As | MADE WHOLE MEDICAL CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | CAREMLA J BANKS Owner 623-300-6457 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QV0200X Clinic/Center, VA | |
| 261QP2400X Clinic/Center, Prison Health | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-21 |