Organization
TITAN CONGLOMERATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMONTE WILLIAS (MANAGER)
(213) 922-0708
Entity
Organization
Contact information
Practice address
12309 W CAMBRIDGE AVE, AVONDALE, AZ 85392-5575
(213) 922-0708
Mailing address
12309 W CAMBRIDGE AVE, AVONDALE, AZ 85392-5575
(213) 922-0708
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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