Organization
HABILITATION AND INDEPENDANT LIVING
Active
Other names
anodyme development
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RUSTY WOODS LPC (EXECUTIVE DIRECTOR)
(623) 217-8277
Entity
Organization
Contact information
Practice address
12291 W. CABRILLO DR, ARIZONA CITY, AZ 85223
(623) 217-8277
Mailing address
5255 W. PORT AU PRINCE LANE, GLENDALE, AZ 85306
(623) 217-8277
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
AZ
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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