Organization
SANKOFA LLC
Active
Organization
SANKOFA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMISIA JONES (OWNER)
(623) 326-0617
Entity
Organization
Contact information
Practice address
1761 E CHAMBERS ST, PHOENIX, AZ 85040-3322
(623) 326-0617
Mailing address
13720 N 88TH AVE APT 2078, PEORIA, AZ 85381-3812
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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