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Organization

SHALOM ENRICHMENT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK GUMA MUGENYI (ADMINISTRATOR)
(443) 946-0088
Entity
Organization

Contact information

Practice address
12445 W KALER DR, GLENDALE, AZ 85307-1782
(443) 946-0088
Mailing address
12445 W KALER DR, GLENDALE, AZ 85307-1782
(443) 946-0088

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/18/2025
Last updated
07/18/2025
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