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Organization

MESTINY GLOBAL CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAMUEL A OGHENEJABOR (CEO/ADMINISTRATOR)
(623) 552-0135
Entity
Organization

Contact information

Practice address
11417 N 33RD AVE, PHOENIX, AZ 85029-3236
(623) 552-0135
Mailing address
14539 W BOCA RATON RD, SURPRISE, AZ 85379-5715
(623) 552-0135

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
10/08/2019
Last updated
10/08/2019
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