Organization
KIA BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON WHICKER (ADMINISTRATOR)
(480) 828-6484
Entity
Organization
Contact information
Practice address
3081 N LESLIE CANYON RD, DOUGLAS, AZ 85607-3233
(480) 828-6484
Mailing address
3081 N LESLIE CANYON RD, DOUGLAS, AZ 85607-3233
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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