Organization
FULLEN ENTERPRISES LLS
Active
Other names
Family and Friends Together
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA L FULLEN (EXECUTIVE DIRECTOR)
(602) 694-9649
Entity
Organization
Contact information
Practice address
10901 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-2523
(602) 694-9649
(623) 977-3374
Mailing address
PO BOX 750, YOUNGTOWN, AZ 85363-0750
(602) 694-9649
(623) 977-3374
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSA13ADHS0215 1
AZ
Other
Enumeration date
08/24/2013
Last updated
08/24/2013
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