Organization
IMARA ORANGEWOOD CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE COATS (VICE PRESIDENT)
(480) 869-7180
Entity
Organization
Contact information
Practice address
2134 W ORANGEWOOD AVE, PHOENIX, AZ 85021-7793
(602) 535-5266
Mailing address
2134 W ORANGEWOOD AVE, PHOENIX, AZ 85021-7793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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