Organization
MUNGOH BC (MBC) LLC
Active
Other names
MUNGOH BC (MBC) LLC DHA
Organization subpart
No
Provider details
NPI number
Authorized official
MARY AKWAR (ADMINSTRATOR)
(480) 234-1509
Entity
Organization
Contact information
Practice address
24610 N SHELTON WAY, FLORENCE, AZ 85132-8018
(520) 234-1600
Mailing address
24610 N SHELTON WAY, FLORENCE, AZ 85132-8018
(520) 324-1600
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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