Organization
SAGUARO FOUNDATION COMMUNITY LIVING PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARDO CASTRO (CEO)
(928) 783-6069
Entity
Organization
Contact information
Practice address
4717 W SHARON LN, SOMERTON, AZ 85350-7127
(928) 627-1602
Mailing address
1495 S 4TH AVE, YUMA, AZ 85364-4603
(928) 783-6069
(928) 782-0061
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
10/24/2024
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