Organization
PROSPERITY HOUSE BY B&S
Active
Other names
Prosperity House
Organization subpart
No
Provider details
NPI number
Authorized official
AVEA GARCIA (ADMINISTRATOR)
(480) 293-4258
Entity
Organization
Contact information
Practice address
3627 W FILLMORE ST, PHOENIX, AZ 85009-4160
(480) 293-4258
(602) 358-8016
Mailing address
3627 W FILLMORE ST, PHOENIX, AZ 85009-4160
(480) 293-4258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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