| Before & After Home 4 Boys, Llc | |
|
40408 W Art Pl Maricopa AZ 85138-5149 | |
| (520) 350-2198 | |
| (520) 423-3915 |
| Full Name | Before & After Home 4 Boys, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 40408 W Art Pl, Maricopa, Arizona |
| Authorized Official Name and Position | Dollie Brazier (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4142183901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Before & After Home 4 Boys, Llc 41402 W Hopper Dr Maricopa AZ 85138-7278 Ph: (520) 350-2198 | Before & After Home 4 Boys, Llc 40408 W Art Pl Maricopa AZ 85138-5149 Ph: (520) 350-2198 |
| NPI Number | 1518388289 |
|---|---|
| Provider Enumeration Date | 12/26/2013 |
| Last Update Date | 12/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518388289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH4368 (Arizona) | Primary |
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