Organization
TLC/TRANSITIONAL LIVING COMMUNITIES
Active
Other names
Transitional Living Communities
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RAYMOND SCHWARY MS, CADAC (CHIEF EXECUTIVE OFFICER)
(602) 763-2138
Entity
Organization
Contact information
Practice address
32 S. MACDONALD STREET, MESA, AZ 85210-1310
(480) 833-0143
(480) 833-4266
Mailing address
32 S. MACDONALD STREET, MESA, AZ 85210-1310
(480) 833-0143
(480) 833-4266
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-3987
AZ
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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