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Organization

ADAS-ADAMA DEVELOPMENTAL ASSISTANCE & SUPPORT LLC

Active
Other names
ADAS-ADAMA DEVELOPMENTAL ASSISTANCE & SUPPORT LLC
Organization subpart
No

Provider details

NPI number
Authorized official
ADAMA KAMARA MPA (OWNER AND CEO)
(602) 829-0907
Entity
Organization

Contact information

Practice address
9304 W OREGON AVE, GLENDALE, AZ 85305-3343
(602) 829-0907
Mailing address
9304 W OREGON AVE, GLENDALE, AZ 85305-3343
(602) 900-3037

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320800000X
Mental Illness Community Based Residential Treatment Facility

Other

Enumeration date
01/11/2021
Last updated
01/12/2021
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