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Organization

MOSES BEHAVIORAL CARE

Active
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Organization

MOSES BEHAVIORAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE AGBOOLA (ADMINISTRATOR)
(480) 589-6692
Entity
Organization

Contact information

Practice address
17622 W PORT ROYALE LN, SURPRISE, AZ 85388-7792
(480) 286-3366
Mailing address
17622 W PORT ROYALE LN, SURPRISE, AZ 85388-7792

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
BH4520
AZ

Other

Enumeration date
12/15/2014
Last updated
03/05/2024
About Stedi
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