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HEALVINE LLC 1396413720

Name: HEALVINE LLC Specialty: Adult Mental Health Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Adult Mental Health. Definition of Specialty: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
License & NPI
License #(s): , , , , License State(s): , , , ,
Practice Location: HEALVINE LLC,1204 E BASELINE RD STE 106,TEMPE,AZ,852831447,US Mailing Address: HEALVINE LLC,1204 E BASELINE RD STE 106,TEMPE,AZ,852831447,US
Contact #
Practice location phone #: 8777558040 Practice location fax #: Mailing address Phone #: 8777558040 Mailing Address fax #: Authorized official Name/Telephone #:MOHAMED, OTHMAN, OWNER 6028153293
Date NPI was obtained: 08/31/2021 Last data data was updated: 08/31/2021 Insurances:

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