Organization
GOLDEN CROSS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIA AJAYI (MANAGER)
(240) 374-2584
Entity
Organization
Contact information
Practice address
1523 W COLTER ST APT 6, PHOENIX, AZ 85015-3013
(602) 583-7534
(602) 583-7541
Mailing address
1523 W COLTER ST UNIT 44, PHOENIX, AZ 85015-3012
(602) 583-7534
(602) 583-7541
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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