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Organization
LOOKING FORWARD BEHAVIORAL HEALTH RESIDENTIAL FACILITY INC.
Active
Organization
LOOKING FORWARD BEHAVIORAL HEALTH RESIDENTIAL FACILITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA MARGUERITE AYIYI LPN (CEO)
(602) 559-6033
Entity
Organization
Contact information
Practice address
6202 W OREGON AVE, GLENDALE, AZ 85301-6632
(602) 559-6033
(623) 322-8622
Mailing address
6202 W OREGON AVE, GLENDALE, AZ 85301-6632
(602) 559-6033
(623) 322-8622
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH4513
AZ
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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