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Organization
VALLEY OF SUN REBIRTH CARE LLC
Active
Organization
VALLEY OF SUN REBIRTH CARE LLC
Active
Other names
VALLEY OF SUN REBIRTH CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WILLIAMS (OWNER)
(602) 320-4589
Entity
Organization
Contact information
Practice address
9010 S PRIEST DR APT 3104, TEMPE, AZ 85284-1176
(602) 320-4589
Mailing address
9010 S PRIEST DR APT 3104, TEMPE, AZ 85284-1176
(602) 320-4589
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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