Organization
SOUTH PHOENIX VETERANS GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA ANN DAWSON (PROGRAM DIRECTOR)
(602) 359-1643
Entity
Organization
Contact information
Practice address
204 W PASEO WAY, PHOENIX, AZ 85041-8838
(602) 359-1643
Mailing address
204 W PASEO WAY, PHOENIX, AZ 85041-8838
(602) 359-1643
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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