Organization
ZION LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWN PEARSON MA (CEO)
(602) 904-2439
Entity
Organization
Contact information
Practice address
1618 E WOOD ST, PHOENIX, AZ 85040-1360
(602) 904-2439
Mailing address
1618 E WOOD ST, PHOENIX, AZ 85040-1360
(602) 904-2439
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5142
AZ
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
BH5142
AZ
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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