Organization
ESPERANZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND ERNEST LINAFELTER (EXECUTIVE DIRECTOR)
(520) 466-8852
Entity
Organization
Contact information
Practice address
11140 W COVE DR, ARIZONA CITY, AZ 85123-5486
(520) 466-8850
(520) 466-8851
Mailing address
PO BOX 2779, ARIZONA CITY, AZ 85123-1040
(520) 466-8850
(520) 466-8851
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH2437
AZ
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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