Organization
STREETLIGHTUSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SKYE STEELE (CEO)
(480) 710-3179
Entity
Organization
Contact information
Practice address
8380 W EMILE ZOLA AVE, PEORIA, AZ 85381-4811
(480) 710-3179
Mailing address
8380 W EMILE ZOLA AVE, PEORIA, AZ 85381-4811
(480) 710-3179
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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