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Organization
SHINING HEARTS
Active
Organization
SHINING HEARTS
Active
Other names
Shining Hearts Residential Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIANA ALEXANDER (DIRECTOR)
(469) 401-8195
Entity
Organization
Contact information
Practice address
21352 N DENTON DRIVE, MARICOPA, AZ 85138
(469) 401-8195
Mailing address
101 N COLORADO ST UNIT 1181, CHANDLER, AZ 85244-6049
(469) 401-8195
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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