Organization
NGAI RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BINSEKA NDZE (ASSISTANT ADMINISTRATOR)
(480) 669-0107
Entity
Organization
Contact information
Practice address
3514 W SAINT CHARLES AVE, PHOENIX, AZ 85041-5010
(480) 669-0107
Mailing address
3514 W SAINT CHARLES AVE, PHOENIX, AZ 85041-5010
(480) 669-0107
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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