Organization
PHOENIX RESIDENTIAL BEHAVIORAL HEALTH LLC
Active
Other names
PHOENIX RESIDENTIAL BEHAVIORAL HEALTH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. USMAN JAWA BUNDU (DIRECTOR)
(148) 097-7945
Entity
Organization
Contact information
Practice address
3555 N SAILBOAT LN, AVONDALE, AZ 85392-3620
(480) 977-9457
Mailing address
3555 N SAILBOAT LN, AVONDALE, AZ 85392-3620
(480) 977-9457
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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