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Organization
LLC DEEPLY ROOTED FAMILY & LIFE SERVICES
Active
Organization
LLC DEEPLY ROOTED FAMILY & LIFE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE REYNOLD REUPENA (CO-CEO)
(951) 867-1858
Entity
Organization
Contact information
Practice address
9025 W CROWN KING RD, TOLLESON, AZ 85353-8639
(602) 677-2206
Mailing address
10517 W TORONTO WAY, TOLLESON, AZ 85353-5630
(951) 867-1858
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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