Organization
GOODSTEPS BEHAVIORAL HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KENNETH DAKA (OWNER)
(562) 583-6835
Entity
Organization
Contact information
Practice address
9144 W MEADOWBROOK AVE, PHOENIX, AZ 85037-2382
(623) 440-2896
(623) 440-2896
Mailing address
9144 W MEADOWBROOK AVE, PHOENIX, AZ 85037-2382
(623) 440-2896
(623) 440-2896
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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