Organization
SUNRISE BEHAVIOR HEALTH HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDE MAHORO (MANAGER)
(480) 616-5994
Entity
Organization
Contact information
Practice address
8733 W HAMMOND LN, TOLLESON, AZ 85353-6953
(480) 616-5994
Mailing address
8733 W HAMMOND LN, TOLLESON, AZ 85353-6953
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114632809
—
AZ
Enumeration date
02/27/2023
Last updated
02/27/2023
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