Organization
A GREATER VISION LIVING SPACE LLC.
Active
Other names
A Greater Vision Living Space LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL ROCHE (OWNER)
(623) 203-5920
Entity
Organization
Contact information
Practice address
7252 W QUAIL TRACK DR, PEORIA, AZ 85383-6362
(623) 203-5920
Mailing address
7252 W QUAIL TRACK DR, PEORIA, AZ 85383-6362
(623) 203-5920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/28/2023
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