Organization
MI CASA TOO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZOILA HENSON (MEMBER)
(775) 250-7212
Entity
Organization
Contact information
Practice address
2511 W QUEEN CREEK RD UNIT 450, CHANDLER, AZ 85248-0070
(775) 250-7212
Mailing address
2511 W QUEEN CREEK RD UNIT 450, CHANDLER, AZ 85248-0070
(775) 250-7212
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
04/09/2023
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