Organization
LATEEF BEHAVIORAL CARES HOME LLC
Active
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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