# AZ INTERACT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AZ INTERACT LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568947364
- **Legal business name:** AZ INTERACT LLC
- **Authorized official:** CARLOS TORRES (PARTNER)
- **Authorized official phone:** (623) 518-9040

## Contact information

- **Practice address:** 4656 W JUNIPER AVE, GLENDALE, AZ 85306-1500
- **Practice address phone:** (623) 518-9040
- **Practice address fax:** (623) 398-8980
- **Mailing address:** 2325 W DESPERADO WAY, PHOENIX, AZ 85085-5777
- **Mailing address phone:** (623) 518-9040
- **Mailing address fax:** (623) 398-8980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/27/2018
- **Last updated:** 09/27/2018