Organization
MULLIGAN'S MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER DIAZ MSW, LCSW (EXECUTIVE DIRECTOR)
(480) 455-2601
Entity
Organization
Contact information
Practice address
4701 S. LAKESHORE DRIVE # 1, TEMPE, AZ 85282
(480) 455-2601
Mailing address
4701 S LAKESHORE DR, TEMPE, AZ 85282-7169
(480) 831-8727
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
AZ
Other
Enumeration date
06/04/2015
Last updated
07/21/2022
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