Organization
FOR THE COMMUNITY FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENETTA TANICA SLONE (OWNER)
(623) 239-7777
Entity
Organization
Contact information
Practice address
10021 N 53RD AVE, GLENDALE, AZ 85302-2203
(623) 239-7777
Mailing address
10021 N 53RD AVE, GLENDALE, AZ 85302
(623) 239-7777
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
01/06/2010
Last updated
01/15/2010
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