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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · LAVEEN, AZ

Organization Active NPI 1659022234

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Assisted Living Facility (Behavioral Disturbances)3104A0630X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.