Organization
KINANLLC
Active
Organization
KINANLLC
Active
Other names
Kinan Behavoral Health, Kinan Behavioral health
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M SERONEI (ADMINISTRATOR)
(623) 398-9295
Entity
Organization
Contact information
Practice address
2132 E KINGS AVE, PHOENIX, AZ 85022-2900
(602) 218-6562
Mailing address
2132 E KINGS AVE, PHOENIX, AZ 85022-2900
(602) 218-6562
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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