Organization
FOUR DIRECTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMUALDO MUNOZ (OWNER)
(480) 332-9276
Entity
Organization
Contact information
Practice address
8149 E POSADA AVE, MESA, AZ 85212-1667
(480) 699-2344
(480) 699-3035
Mailing address
PO BOX 10908, SCOTTSDALE, AZ 85271-0908
(480) 699-2344
(480) 699-3035
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4215
AZ
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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