Individual
CHERISH CAPUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36816 N 15TH PL, PHOENIX, AZ 85086-9162
(916) 201-6305
Mailing address
36816 N 15TH PL, PHOENIX, AZ 85086-9162
(916) 201-6305
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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