Organization
MARY FLANERY
Active
Parent organization
MARY FLANERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY FLANERY
Authorized official
MS. MARY D. FLANERY LISAC (COUNSELOR)
(520) 466-8850
Entity
Organization
Contact information
Practice address
1365 E 12TH ST, CASA GRANDE, AZ 85122-3694
(520) 466-8850
(520) 466-8851
Mailing address
1365 E 12TH ST, CASA GRANDE, AZ 85122-3694
(520) 466-8850
(520) 466-8851
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
SA1695
AZ
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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