Organization
ODEL BURNES SR.
Active
Organization
ODEL BURNES SR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODEL BURNES (ADMINISTRATOR)
(480) 270-0200
Entity
Organization
Contact information
Practice address
3268 E GOLDFINCH WAY, CHANDLER, AZ 85286-5732
(480) 270-0200
Mailing address
3268 E GOLDFINCH WAY, CHANDLER, AZ 85286-5732
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH-3645
AZ
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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