NPI 1003401902

Supreme Positive Innovation Services LLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Mesa, AZ

Practice location

Address: 1833 W Main St STE 139-140, Mesa, AZ 85201-6922
Phone: (602) 757-6786

Authorised official

Name: Katelyn Tamas
Title: Owner
Phone: (602) 757-6786

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Arizona →

Registry record

NPI: 1003401902
Entity type: Organization
NPI issued: 3 Mar 2021
Record last updated: 3 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.