Organization
THE HOUSE OF CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ANDERSON (PRESIDENT)
(480) 560-6460
Entity
Organization
Contact information
Practice address
41335 N ARBOR AVE, QUEEN CREEK, AZ 85240-6120
(480) 560-6460
Mailing address
41335 N ARBOR AVE, QUEEN CREEK, AZ 85240-6120
(480) 560-6460
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH3020
AZ
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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