Organization
JONIK SOBER LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NKIRUKA MIRIAM POLLYN (OPERATING OFFICER)
(480) 519-4138
Entity
Organization
Contact information
Practice address
7852 E BILLINGS ST, MESA, AZ 85207-7548
(480) 519-4138
Mailing address
7852 E BILLINGS ST, MESA, AZ 85207-7548
(480) 519-4138
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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