Organization
SPLENDOR BEHAVIORAL RESIDENCY LLC
Active
Other names
Splendor Behavioral Residency LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KASARACHI DARLYN EMEDORO B.S (MANAGER/OWNER)
(713) 291-1836
Entity
Organization
Contact information
Practice address
43842 W ELIZABETH AVE, MARICOPA, AZ 85138-5673
(713) 291-1836
Mailing address
43842 W ELIZABETH AVE, MARICOPA, AZ 85138-5673
(713) 291-1836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/29/2021
Last updated
12/01/2021
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