Organization
KEWALA CORPORATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEHINDE LAWAL (AO)
(623) 703-8083
Entity
Organization
Contact information
Practice address
556 W MIRAGE LOOP, CASA GRANDE, AZ 85122-6133
(623) 703-8083
(520) 447-7709
Mailing address
491 E BLACK DIAMOND DR, CASA GRANDE, AZ 85122-8880
(623) 703-8083
(520) 447-7709
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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