Organization
THE FAMILY HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MUGABO (MANAGER)
(207) 482-9832
Entity
Organization
Contact information
Practice address
7137 S 68TH GLN, LAVEEN, AZ 85339-5072
(207) 482-9832
Mailing address
7137 S 68TH GLN, LAVEEN, AZ 85339-5072
(207) 482-9832
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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