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Organization
SECOND CHANCE BEHAVIROAL HEALTH
Active
Organization
SECOND CHANCE BEHAVIROAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATIA WALSH (ADMINISTRATOR)
(602) 622-7347
Entity
Organization
Contact information
Practice address
1126 E YUCCA ST, CASA GRANDE, AZ 85122-1204
(602) 622-7347
Mailing address
PO BOX 11974, CASA GRANDE, AZ 85130-0540
(602) 622-7347
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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