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Organization

KLS BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSANTHE CARATURO MBA (SITE ADMINISTRATOR)
(516) 474-1561
Entity
Organization

Contact information

Practice address
9201 N 25TH AVE STE 143, PHOENIX, AZ 85021-2722
(516) 474-1561
Mailing address
9201 N 25TH AVE STE 143, PHOENIX, AZ 85021-2722
(516) 474-1561

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
06/13/2022
Last updated
10/31/2022
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