Provider Demographics
NPI:1578277133
Name:RIGHT DIRECTION WELLNESS
Entity Type:Organization
Organization Name:RIGHT DIRECTION WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-715-4713
Mailing Address - Street 1:1839 S ALMA SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3023
Mailing Address - Country:US
Mailing Address - Phone:708-612-1170
Mailing Address - Fax:
Practice Address - Street 1:1839 S ALMA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3023
Practice Address - Country:US
Practice Address - Phone:708-612-1170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health