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Organization

JFOX II LLC

Active
Other names
Red Mountain Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC WILENS (LLC MANAGER)
(480) 286-2686
Entity
Organization

Contact information

Practice address
5327 E ENROSE CIR, MESA, AZ 85205-5489
(480) 243-5469
(877) 588-8282
Mailing address
23030 N 91ST DR, PEORIA, AZ 85383-4283
(480) 286-2686

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
09/09/2020
Last updated
12/09/2025
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