Organization
SQUARED AFFAIRS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND SMITH (ADMINISTRATOR)
(623) 226-8191
Entity
Organization
Contact information
Practice address
11840 N 28TH DR, PHOENIX, AZ 85029-3300
(623) 226-8191
Mailing address
20987 N JOHN WAYNE PKWY STE B104-244, MARICOPA, AZ 85139-2926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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