Organization
JUSSAMAL MANOR
Active
Organization
JUSSAMAL MANOR
Active
Parent organization
JUSSAMAL MANOR
Other names
0
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUSSAMAL MANOR
Authorized official
MR. SAMUEL NJUGUNA MARIRA (CEO/PROGRAM DIRECTOR)
(951) 567-6673
Entity
Organization
Contact information
Practice address
3047 E KINGBIRD PL, CHANDLER, AZ 85286-5615
(480) 268-7738
(480) 268-7738
Mailing address
1302 W KESLER LN, CHANDLER, AZ 85224-7286
(951) 567-6673
(480) 268-7738
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH3838
AZ
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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