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Organization

UNITY GROUP HOME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE KAY EDWARDS (OWNER)
(480) 202-2972
Entity
Organization

Contact information

Practice address
12406 W SURREY AVE, EL MIRAGE, AZ 85335-7245
(480) 202-2972
(623) 546-0161
Mailing address
70 S VAL VISTA DR STE A3, GILBERT, AZ 85296-1375
(480) 202-2972
(623) 546-0161

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH-2998
AZ

Other

Enumeration date
11/29/2007
Last updated
11/29/2007
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