| The Facts Of Life Grouphome, Inc | |
|
1122 E. Buckeye Road Phoenix AZ 85034 | |
| (480) 593-7402 | |
| Not Available |
| Full Name | The Facts Of Life Grouphome, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1122 E. Buckeye Road, Phoenix, Arizona |
| Authorized Official Name and Position | Yolanda Robinson (FOUNDER/CEO) |
| Authorized Official Contact | 4805937402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Facts Of Life Grouphome, Inc 1122 E. Buckeye Road Suite A4 Phoenix AZ 85034 Ph: (480) 593-7402 | The Facts Of Life Grouphome, Inc 1122 E. Buckeye Road Phoenix AZ 85034 Ph: (480) 593-7402 |
| NPI Number | 1386928414 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 10/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386928414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH3920 (Arizona) | Primary |
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