| Hope Light Care Treatment Center Llc | |
|
4136 N 75th Ave Ste 211 Phoenix AZ 85033-3169 | |
| (480) 278-2047 | |
| Not Available |
| Full Name | Hope Light Care Treatment Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4136 N 75th Ave Ste 211, Phoenix, Arizona |
| Authorized Official Name and Position | Samuel Ndayiragije (OWNER) |
| Authorized Official Contact | 4802782047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Light Care Treatment Center Llc 9963 W Monterosa Ave Phoenix AZ 85037-2510 Ph: (480) 278-2047 | Hope Light Care Treatment Center Llc 4136 N 75th Ave Ste 211 Phoenix AZ 85033-3169 Ph: (480) 278-2047 |
| NPI Number | 1063126993 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063126993 | NPI | - | NPPES |
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