Organization
STRONG HOUSE OF HEALING
Active
Parent organization
AGNES' CENTERS FOR DOMESTIC SOLUTIONS
Other names
Agnes Centers For Domestic Solutions
Organization subpart
Yes
Provider details
NPI number
Legal business name
AGNES' CENTERS FOR DOMESTIC SOLUTIONS
Authorized official
MERCEDES BOOKER (CEO)
(602) 832-9500
Entity
Organization
Contact information
Practice address
40800 W RIO GRANDE DR, MARICOPA, AZ 85138-1805
(520) 213-8336
Mailing address
40800 W RIO GRANDE DR, MARICOPA, AZ 85138-1805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/01/2020
Last updated
02/01/2020
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