Organization
VICTORY MANOR LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUSTER MUTHONI NJUGUNA CEO. (ADMINISTRATOR)
(480) 277-3995
Entity
Organization
Contact information
Practice address
1041 S YUCCA PL, CHANDLER, AZ 85286-0982
(480) 277-3995
(480) 257-3447
Mailing address
1452 W MORELOS ST, CHANDLER, AZ 85224-7241
(480) 277-3995
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5323
AZ
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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