Organization
LATEEF BEHAVIORAL CARES HOME LLC
Active
Other names
Lateef Behavioral Care Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM LATEEF MHNP-BC (PRESIDENT)
(602) 403-5050
Entity
Organization
Contact information
Practice address
2111 W CARTER RD, PHOENIX, AZ 85041-6560
(602) 403-5050
Mailing address
PO BOX 21857, PHOENIX, AZ 85036-1857
(602) 403-5050
(623) 777-0820
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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