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Organization
HUMBLE HOUSE
Active
Organization
HUMBLE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE DUAH (ASSISTANT DIRECTOR)
(623) 937-3443
Entity
Organization
Contact information
Practice address
8572 W PALO VERDE AVE, PEORIA, AZ 85345-5354
(623) 937-3443
(623) 337-5523
Mailing address
8572 W PALO VERDE AVE, PEORIA, AZ 85345-5354
(623) 937-3443
(653) 337-5523
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH-3077
AZ
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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