Organization
GREYSTONE HOUSE 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX PESCADOR (OWNER AND ADMINISTRATOR)
(602) 525-5468
Entity
Organization
Contact information
Practice address
27490 N HIGUERA DR, PEORIA, AZ 85383-4859
(602) 525-5468
(602) 467-3153
Mailing address
27490 N HIGUERA DR, PEORIA, AZ 85383-4859
(602) 525-5468
(602) 467-3153
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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