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Organization
PROSPEROUS RECOVERY HOMES LLC
Active
Organization
PROSPEROUS RECOVERY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MUGWANYA (CEO)
(818) 445-0567
Entity
Organization
Contact information
Practice address
18744 W SAN JUAN AVE, LITCHFIELD PARK, AZ 85340-0019
(818) 445-0567
Mailing address
18744 W SAN JUAN AVE, LITCHFIELD PARK, AZ 85340-0019
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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