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Organization
AZ INTERACT LLC
Active
Organization
AZ INTERACT LLC
Active
Parent organization
AZ INTERACT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AZ INTERACT LLC
Authorized official
CARLOS TORRES (PARTNER)
(623) 518-9040
Entity
Organization
Contact information
Practice address
4656 W JUNIPER AVE, GLENDALE, AZ 85306-1500
(623) 518-9040
(623) 398-8980
Mailing address
2325 W DESPERADO WAY, PHOENIX, AZ 85085-5777
(623) 518-9040
(623) 398-8980
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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