Organization
PROFESSIONAL CARING KINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALEN WILLIAMS (OWNER)
(775) 376-3246
Entity
Organization
Contact information
Practice address
43972 W YUCCA LN, MARICOPA, AZ 85138-4019
(775) 376-3246
Mailing address
43972 W YUCCA LN, MARICOPA, AZ 85138-4019
(775) 376-3246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
04/13/2021
Last updated
04/27/2022
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