Organization
AZ INTERACT LLC
Active
Parent organization
AZ INTERACT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AZ INTERACT LLC
Authorized official
CARLOS TORRES (PARTNER)
(623) 518-9040
Entity
Organization
Contact information
Practice address
4656 W JUNIPER AVE, GLENDALE, AZ 85306-1500
(623) 518-9040
(623) 398-8980
Mailing address
2325 W DESPERADO WAY, PHOENIX, AZ 85085-5777
(623) 518-9040
(623) 398-8980
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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