Organization
PARK PLACE OUTREACH & COUNSELING CENTERS, INC.
Active
Parent organization
PARK PLACE OUTREACH & COUNSELING CENTERS, INC.
Other names
Casa De Vida
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK PLACE OUTREACH & COUNSELING CENTERS, INC.
Authorized official
MR. RAYMOND EARNEST LINAFELTER (EXECUTIVE DIRECTOR)
(520) 466-8850
Entity
Organization
Contact information
Practice address
15136 S AVALON RD, ARIZONA CITY, AZ 85123
(520) 466-8850
(520) 466-8851
Mailing address
P.O. BOX 2779, ARIZONA CITY, AZ 85123
(520) 466-8850
(520) 466-8851
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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