Organization · Type 2 NPI
Supreme Positive Innovation Services LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Mesa, AZ
NPI number
1215544903
Active
Practice location
1833 W Main St Ste 139-140
Mesa, AZ 85201-6922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1215544903
Supreme Positive Innovation Services LLC's National Provider Identifier is 1215544903, issued on Sep 26, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mesa, AZ. The record was last updated on Sep 28, 2020.