MAKINI MENTAL HEALTH CENTER LLC

PHOENIX, AZ
NPI1386350049
Entity TypeOrganization
Authorized ContactSTANLEY KIDIAVAYI
Provider
602-856-6116
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-01-26
Last Update Date2023-01-26
Business Address
MAKINI MENTAL HEALTH CENTER LLC
8805 N 23RD AVE STE 100
PHOENIX, AZ 85021-4172
Phone number: 602-856-6116
Mailing Address
MAKINI MENTAL HEALTH CENTER LLC
8805 N 23RD AVE STE 100
PHOENIX, AZ 85021-4172
Phone number: 602-856-6116
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