Organization
TYLER'S HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE BAKER MSC, LAC, NCC (FOUNDER)
(480) 681-5391
Entity
Organization
Contact information
Practice address
4435 E CHANDLER BLVD, PHOENIX, AZ 85048-7649
(480) 628-5695
Mailing address
4435 E CHANDLER BLVD, PHOENIX, AZ 85048-7649
(480) 628-5695
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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