Organization
HAVEN COMMUNITY AND SOCIAL SERVICES AGENCY
Active
Parent organization
DAY STARZ GROUP HOME, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAY STARZ GROUP HOME, INC.
Authorized official
TAMLA D ALEXANDER (PRESIDENT/CEO)
(520) 350-4697
Entity
Organization
Contact information
Practice address
43284 W ARIZONA AVE, MARICOPA, AZ 85138-8236
(520) 350-4697
Mailing address
43284 W ARIZONA AVE, MARICOPA, AZ 85138-8236
(520) 350-4697
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265556
—
AZ
Enumeration date
05/05/2020
Last updated
11/27/2023
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