Provider Demographics
NPI:1457136855
Name:ACCLAIM INTERGRATED CLINIC LLC
Entity type:Organization
Organization Name:ACCLAIM INTERGRATED CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:MUHUMUZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-299-8844
Mailing Address - Street 1:4935 W GLASS LANE
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339
Mailing Address - Country:US
Mailing Address - Phone:818-233-1415
Mailing Address - Fax:
Practice Address - Street 1:18434 N 99TH AVENUE
Practice Address - Street 2:BLOCK 3 AND 4
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85373
Practice Address - Country:US
Practice Address - Phone:818-233-1415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty