NPI 1760934988

Patrick Wayne Stewart

Organisation Voluntary or Charitable Agency Mesa, AZ

Practice location

Address: 1621 E Jacinto Ave 6895, Mesa, AZ 85204-6895
Phone: (602) 881-7023
Mailing address: 1621 E Jacinto Ave P.O. Box 6895, Mesa, AZ 85204-6895

Authorised official

Name: Patrickwayne Stewart
Title: Chief Executive Administrator
Phone: (602) 881-7023

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X Licence 21090395 (AZ)

Other Voluntary or Charitable providers in Arizona →

Registry record

NPI: 1760934988
Entity type: Organization
NPI issued: 4 Nov 2016
Record last updated: 4 Nov 2016

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.