Organization
247 RECOVERY GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ACLEO KATUSABE (CEO)
(336) 405-7510
Entity
Organization
Contact information
Practice address
4822 W GWEN ST, LAVEEN, AZ 85339-4200
(336) 405-7510
Mailing address
4822 W GWEN ST, LAVEEN, AZ 85339-4200
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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