Organization
A BETTER COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENETTA T GAMMAGE (OWNER)
(623) 628-4079
Entity
Organization
Contact information
Practice address
2200 W BETHANY HOME RD, PHOENIX, AZ 85015-1997
(623) 628-4079
Mailing address
2200 W BETHANY HOME RD, PHOENIX, AZ 85015-1997
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/08/2010
Last updated
08/08/2010
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