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The Order Of Promise, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Mesa, AZ. Organization (NPI-2).

NPI number1801547468
StatusActive
Last updated in NPPESOct 16, 2024

Details

NPI
1801547468
Entity type
Organization (NPI-2)
Legal business name
The Order Of Promise, LLC
Organization subpart
No
Enumeration date
Jan 14, 2022
Certification date
Oct 16, 2024
Last updated
Oct 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––

Practice location

1930 S Alma School Rd Ste A203
Mesa, AZ 85210-3066

Phone 480-256-8566

Mailing address

1930 S Alma School Rd Ste A203
Mesa, AZ 85210-3066

Phone 480-256-8566

Authorized official

Aaron David Hallstrom
Owner
4803602172

Is something wrong?

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