Individual
CHIMENE BARAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8018 W CORDES RD, PHOENIX, AZ 85043-1443
(602) 388-0922
Mailing address
4000 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-3520
(602) 283-1573
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH9557
AZ
385H00000X
Respite Care
—
—
Other
Enumeration date
02/27/2024
Last updated
05/01/2024
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