Organization
CDH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS HOWARD (DIRECTOR)
(602) 487-8280
Entity
Organization
Contact information
Practice address
4017 E LA PUENTE AVE, PHOENIX, AZ 85044-1339
(602) 487-8280
Mailing address
4017 E LA PUENTE AVE, PHOENIX, AZ 85044-1339
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
322D00000X
AZ
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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