Organization
TRANQUILITY HOUSE LLC
Active
Parent organization
TRANQUILITY HOUSE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANQUILITY HOUSE LLC
Authorized official
MS. SHAIBA BARRY RN/BSN/NP (CLINICAL DIRECTOR)
(602) 369-1254
Entity
Organization
Contact information
Practice address
13428 W ACAPULCO LN, SURPRISE, AZ 85379-6553
(602) 369-1254
(623) 337-5076
Mailing address
13428 W ACAPULCO LN, SURPRISE, AZ 85379-6553
(602) 369-1254
(623) 337-5076
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-3984
AZ
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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