Organization
VALLEY OF SUN REBIRTH CARE LLC
Active
Other names
VALLEY OF SUN REBIRTH CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WILLIAMS (OWNER)
(602) 320-4589
Entity
Organization
Contact information
Practice address
9010 S PRIEST DR APT 3104, TEMPE, AZ 85284-1176
(602) 320-4589
Mailing address
9010 S PRIEST DR APT 3104, TEMPE, AZ 85284-1176
(602) 320-4589
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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