Organization
KONKRETE ROSE YOUTH AND FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURYN MAY REGISTERED NURSE (CEO)
(602) 552-2381
Entity
Organization
Contact information
Practice address
3707 E SOUTHERN AVE STE 2054, MESA, AZ 85206-6217
(602) 552-2381
Mailing address
929 N VAL VISTA DR STE 109-1197, GILBERT, AZ 85234-3706
(602) 552-2381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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