Organization
AZ INTERACT LLC
Active
Parent organization
AZ INTERACT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AZ INTERACT LLC
Authorized official
CARLOS TORRES (ADMINISTRATOR)
(602) 410-3606
Entity
Organization
Contact information
Practice address
6427 W WETHERSFIELD RD, GLENDALE, AZ 85304-1629
(602) 410-3606
(623) 398-8980
Mailing address
2325 W DESPERADO WAY, PHOENIX, AZ 85085-5777
(602) 410-3606
(623) 398-8980
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/21/2025
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