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Organization
FOSTERS HOUSE LLC
Active
Organization
FOSTERS HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE NICHOLAS MILLER (ADMINISTRATOR)
(480) 980-0648
Entity
Organization
Contact information
Practice address
1844 E DANA AVE, MESA, AZ 85204-1351
(480) 980-0648
Mailing address
1844 E DANA AVE, MESA, AZ 85204-1351
(480) 980-0648
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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