Organization
GATMAL , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN NDUNYU (CHIEF ADMINISTRATOR)
(480) 525-7605
Entity
Organization
Contact information
Practice address
5513 W STARGAZER PL, LAVEEN, AZ 85339-1212
(480) 525-7605
Mailing address
5513 W STARGAZER PL, LAVEEN, AZ 85339-1212
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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