Organization
SOL ACOMA BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAVU JARICHA (ADMINISTRATOR)
(623) 313-0827
Entity
Organization
Contact information
Practice address
3437 W ACOMA DR, PHOENIX, AZ 85053-5620
(602) 942-0316
(623) 934-3408
Mailing address
10339 W MAGNOLIA ST, TOLLESON, AZ 85353-1262
(623) 313-0827
(623) 201-6004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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