Organization
SPRINGS OF JOY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA NYAWIRA GITOGO (ADMINISTRATOR)
(253) 228-7140
Entity
Organization
Contact information
Practice address
613 S 125TH AVE, AVONDALE, AZ 85323-8447
(253) 228-7140
Mailing address
613 S 125TH AVE, AVONDALE, AZ 85323-8447
(253) 228-7140
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
BH5278
AZ
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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