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Organization

ST PATRICK HEALTH CARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK MBAH (OWNER/ADMINISTRATOR)
(202) 469-1352
Entity
Organization

Contact information

Practice address
1087 W AVALON CANYON DR, CASA GRANDE, AZ 85122-6706
(202) 469-1352
Mailing address
1087 W AVALON CANYON DR, CASA GRANDE, AZ 85122-6706
(202) 469-1352

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
01/06/2023
Last updated
01/06/2023
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