Organization
ARIZONA SHALOM CENTER, LLC
Active
Other names
AZ SHALOM CENTER, ARIZONA SHALOM CENTER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ETIENNE AHAYO (ADMINSTRATOR)
(480) 358-7189
Entity
Organization
Contact information
Practice address
22453 N VANDERVEEN WAY, MARICOPA, AZ 85138-5570
(480) 358-7189
Mailing address
22453 N VANDERVEEN WAY, MARICOPA, AZ 85138-5570
(480) 358-7189
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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