Organization
UNHOOKED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY G LEACH LPN (CHIEF EXECUTIVE OFFICER)
(602) 368-8203
Entity
Organization
Contact information
Practice address
3602 E GREENWAY RD STE 105, PHOENIX, AZ 85032-4648
(602) 368-3114
(888) 972-9788
Mailing address
3602 E GREENWAY RD STE 105, PHOENIX, AZ 85032-4648
(602) 368-3114
(888) 972-9788
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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