| NPI | 1841984119 |
|---|---|
| Doing Business As | CRESCENT WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | REBEKAH VIGILEOS Owner/Provider 480-434-9153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-07-22 |