Organization
ABEL'S HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA J MEDRANO (EXECUTIVE DIRECTOR)
(602) 441-0956
Entity
Organization
Contact information
Practice address
1127 W PEORIA AVE, PHOENIX, AZ 85029-5984
(602) 441-0956
Mailing address
1930 W WASHINGTON ST, PHOENIX, AZ 85009-5209
(602) 441-0956
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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