Organization
GEM HOUSE LLC
Active
Other names
GEM HOUSE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE NYIRAKANYANA (ADMINISTRATOR)
(207) 409-6515
Entity
Organization
Contact information
Practice address
9225 W WILLOW BEND LN, PHOENIX, AZ 85037-2444
(207) 409-6515
Mailing address
9225 W WILLOW BEND LN, PHOENIX, AZ 85037-2444
(207) 409-6515
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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