Organization
OZAREE PLACE 1
Active
Parent organization
FLO ENTERPRISES
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLO ENTERPRISES
Authorized official
MR. FREDERICK ORLANDER JACOBS (OWNER/PROGRAM DIRECTOR)
(602) 469-0802
Entity
Organization
Contact information
Practice address
7409 S 26TH LN, PHOENIX, AZ 85041-6477
(602) 237-5584
(602) 323-5021
Mailing address
7409 S 26TH LN, PHOENIX, AZ 85041-6477
(602) 237-5584
(602) 323-5021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BH3418
AZ
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
BH3418
AZ
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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