Organization
ASSOCIATE COMMUNITY ENTERPRISE
Active
Other names
Future Forward Behavioral Health Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EVANS (CEO)
(480) 238-2047
Entity
Organization
Contact information
Practice address
8155 N 24TH AVE STE B, PHOENIX, AZ 85021-6883
(480) 352-9969
Mailing address
8155 N 24TH AVE STE B, PHOENIX, AZ 85021-6883
(480) 352-9969
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/10/2021
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