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Organization

HOPE LIGHT CARE TREATMENT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL NDAYIRAGIJE (OWNER)
(480) 278-2047
Entity
Organization

Contact information

Practice address
4136 N 75TH AVE STE 211, PHOENIX, AZ 85033-3169
(480) 278-2047
Mailing address
9963 W MONTEROSA AVE, PHOENIX, AZ 85037-2510
(480) 278-2047

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/05/2023
Last updated
01/05/2023
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