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Organization

BEFORE & AFTER HOME 4 BOYS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOLLIE BRAZIER (EXECUTIVE DIRECTOR)
(414) 218-3901
Entity
Organization

Contact information

Practice address
40408 W ART PL, MARICOPA, AZ 85138-5149
(520) 350-2198
(520) 423-3915
Mailing address
41402 W HOPPER DR, MARICOPA, AZ 85138-7278
(520) 350-2198
(520) 423-3915

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH4368
AZ

Other

Enumeration date
12/26/2013
Last updated
12/26/2013
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