Organization
LATEEF BEHAVIORAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYAM LATEEF LPN (OWNER)
(602) 403-5050
Entity
Organization
Contact information
Practice address
8613 S 7TH DR, PHOENIX, AZ 85041-8311
(602) 314-5903
Mailing address
8613 S 7TH DR, PHOENIX, AZ 85041-8311
(602) 314-5903
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
3990
AZ
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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