Organization
DESERT SAGE GROUP HOME LLC
Active
Other names
Desert Sage
Organization subpart
No
Provider details
NPI number
Authorized official
AMEER MAHAMMAD (OWNER)
(602) 327-6094
Entity
Organization
Contact information
Practice address
1229 W DARREL RD, PHOENIX, AZ 85041-6717
(602) 327-6094
Mailing address
11157 N 82ND LN, PEORIA, AZ 85345-5900
(602) 327-6094
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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