Organization
ABILITY360, INC,
Active
Other names
Arizona Bridge to Independent Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL L PANGRAZIO (PRESIDENT AND CEO)
(602) 256-2245
Entity
Organization
Contact information
Practice address
5025 E WASHINGTON ST STE 200, PHOENIX, AZ 85034-7439
(602) 256-2245
(602) 528-3422
Mailing address
5025 E WASHINGTON ST STE 200, PHOENIX, AZ 85034-7439
(602) 256-2245
(602) 528-3422
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
131516
AZ
Other
Enumeration date
02/02/2007
Last updated
10/21/2016
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