| Sunrise Behavior Health Home Llc | |
|
8733 W Hammond Ln Tolleson AZ 85353-6953 | |
| (480) 616-5994 | |
| Not Available |
| Full Name | Sunrise Behavior Health Home Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8733 W Hammond Ln, Tolleson, Arizona |
| Authorized Official Name and Position | Claude Mahoro (MANAGER) |
| Authorized Official Contact | 4806165994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Behavior Health Home Llc 8733 W Hammond Ln Tolleson AZ 85353-6953 Ph: () - | Sunrise Behavior Health Home Llc 8733 W Hammond Ln Tolleson AZ 85353-6953 Ph: (480) 616-5994 |
| NPI Number | 1760181010 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760181010 | NPI | - | NPPES |
| 1114632809 | Medicaid | AZ |
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