Organization
THE FACTS OF LIFE GROUPHOME, INC
Active
Organization
THE FACTS OF LIFE GROUPHOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA ROBINSON (FOUNDER/CEO)
(480) 593-7402
Entity
Organization
Contact information
Practice address
1122 E. BUCKEYE ROAD, PHOENIX, AZ 85034
(480) 593-7402
Mailing address
1122 E. BUCKEYE ROAD, SUITE A4, PHOENIX, AZ 85034
(480) 593-7402
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH3920
AZ
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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