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Organization
AMAZING G LLC
Active
Organization
AMAZING G LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA ARMSTRONG-MENSAH (OWNER)
(602) 332-4800
Entity
Organization
Contact information
Practice address
3030 N SARANAC, MESA, AZ 85207-1563
(602) 332-4800
Mailing address
3030 N SARANAC, MESA, AZ 85207-1563
(602) 332-4800
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH4995
AZ
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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