Wesley Community Center INC

NPI #1013547686 in Phoenix, Arizona

Provider Information

NPI Number
1013547686
Entity Type
Organization
Organization Name
Wesley Community Center INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jan 22, 2020
Last Updated
Apr 9, 2021

Practice Location

Address
1510 S 19TH DR STE 100
State
Arizona
ZIP Code
85009-6540
Phone
(602) 368-9896

Authorized Official

Name
BLAINE BANDI
Title
CEO
Phone
(602) 368-9616

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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