Organization
BECOMING TRANSFORMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GOMEZ (OWNER)
(602) 618-8024
Entity
Organization
Contact information
Practice address
20470 N LAKE PLEASANT RD, SUITE 106, PEORIA, AZ 85382-9708
(602) 618-8024
Mailing address
PO BOX 7641, SURPRISE, AZ 85374-0110
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
20016299
AZ
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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