Organization
HOPE AND PEACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA CHANTAL (ADMIN)
(520) 906-0283
Entity
Organization
Contact information
Practice address
3909 S 57TH DR, PHOENIX, AZ 85043-6431
(520) 906-0283
Mailing address
3909 S 57TH DR, PHOENIX, AZ 85043-6431
(520) 906-0283
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH7615
AZDHS
—
Enumeration date
06/02/2022
Last updated
06/02/2022
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