Organization
BARIKUURA VITALITY BEHAVIORAL HOME LLC
Active
Organization
BARIKUURA VITALITY BEHAVIORAL HOME LLC
Active
Other names
Barikuura Vitality Behavioral Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LETOR KPEE BACHELOR IN ENGLISH (THE ADMINISTRATOR)
(623) 570-1308
Entity
Organization
Contact information
Practice address
12638 W SUPERIOR AVE, AVONDALE, AZ 85323-9631
(623) 932-9425
Mailing address
12638 W SUPERIOR AVE, AVONDALE, AZ 85323-9631
(623) 932-9425
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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