Organization
NI'LEE TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESSENCE BOLDEN (OWNER)
(602) 783-9846
Entity
Organization
Contact information
Practice address
7939 W ORANGE DR, GLENDALE, AZ 85303-5563
(602) 783-9846
Mailing address
7939 W ORANGE DR, GLENDALE, AZ 85303-5563
(602) 783-9846
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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