Organization
VISIONZ ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ANTONIO COCHRANE SR. (CEO/EXECUTIVE DIRECTOR)
(602) 586-8414
Entity
Organization
Contact information
Practice address
351 W SUMERSET DR, PHOENIX, AZ 85023-7425
(602) 586-8414
Mailing address
351 W SUMERSET DR, PHOENIX, AZ 85023-7425
(602) 586-8414
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
07/25/2008
Last updated
07/26/2008
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