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Organization

YES YOU CAN SAAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMINA NAKIYAGA (MANAGER)
(520) 607-7431
Entity
Organization

Contact information

Practice address
3458 N LADY LAKE LN, CASA GRANDE, AZ 85122-6634
(520) 607-7431
Mailing address
3458 N LADY LAKE LN, CASA GRANDE, AZ 85122-6634

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
177F00000X
Lodging Provider
251B00000X
Case Management Agency
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
12/22/2022
Last updated
12/22/2022
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