Organization
MBC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MBAH MUNGOH (CEO)
(301) 755-4406
Entity
Organization
Contact information
Practice address
2644 W HALF MOON CIR, QUEEN CREEK, AZ 85142-6640
(301) 755-4406
Mailing address
2644 W HALF MOON CIR, QUEEN CREEK, AZ 85142-6640
(301) 755-4406
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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