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Organization

HAPPY HAVEN2 AZ, LLC

Active
Other names
Happy haven2 AZ, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA NDAYISHIMIYE (ADMINISTRATOR)
(207) 344-8204
Entity
Organization

Contact information

Practice address
811 E SELDON LN, PHOENIX, AZ 85020-3255
(207) 344-8204
Mailing address
811 E SELDON LN, PHOENIX, AZ 85020-3255

Taxonomy

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

Other

Enumeration date
05/06/2022
Last updated
05/07/2022
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