Organization
MUCO BEHAVIORAL HEALTH RESIDENTIAL HOME, LLC
Active
Other names
Muco Behavioral Health Residential Home
Organization subpart
No
Provider details
NPI number
Authorized official
DEOGRATIAS BARANSAKA (ADMINISTRATOR)
(623) 760-8378
Entity
Organization
Contact information
Practice address
7215 W IRONWOOD DR, PEORIA, AZ 85345-6805
(623) 760-8378
(623) 594-8992
Mailing address
7215 W IRONWOOD DR, PEORIA, AZ 85345-6805
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
851737
AZ
Other
Enumeration date
08/13/2014
Last updated
11/04/2024
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