Organization
DESIRE RUSINGIZWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARNISE MOORE DRPH, MPH, CHC, CHRC (CHIEF PROGRAM OFFICER)
(602) 285-1800
Entity
Organization
Contact information
Practice address
12634 W ESTERO LN, LITCHFIELD PARK, AZ 85340-5156
(602) 214-9544
Mailing address
12634 W ESTERO LN, LITCHFIELD PARK, AZ 85340-5156
(602) 214-9544
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
BH-3918
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH-3918
—
AZ
Enumeration date
12/20/2011
Last updated
03/20/2026
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