Organization
GOOD CARE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE GIDDINGS (OWNER)
(313) 434-2723
Entity
Organization
Contact information
Practice address
6313 W FLORENCE AVE, PHOENIX, AZ 85043-7778
(313) 434-2723
Mailing address
22621 N GIBSON DR, MARICOPA, AZ 85139-8840
(313) 434-2723
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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