Organization
HOME OF PURPOSE EMPOWERMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. ELONDA WILSON (CHIEF OPERATIONS OFFICER)
(602) 935-1611
Entity
Organization
Contact information
Practice address
30938 W MITCHELL DR, BUCKEYE, AZ 85396-6813
(602) 935-1611
Mailing address
11853 W NADINE WAY, PEORIA, AZ 85383-4522
(860) 690-5309
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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