Organization
POSITIVE MOVEMENT II,LLC
Active
Organization
POSITIVE MOVEMENT II,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HOMER HARMON ADMINISTRATOR (ADMINISTRATOR)
(313) 516-5554
Entity
Organization
Contact information
Practice address
655 SUNRISE BLVD, PRESCOTT, AZ 86301-5874
(928) 237-4502
(734) 423-1427
Mailing address
655 SUNRISE BLVD, PRESCOTT, AZ 86301-5874
(928) 237-4502
(734) 423-1427
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5327
AZ
Other
Enumeration date
02/05/2018
Last updated
06/20/2018
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