Organization
SANCTUARY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMAN BUKHARI (MANAGER)
(602) 549-2221
Entity
Organization
Contact information
Practice address
9434 E LOS LAGOS VISTA AVE, MESA, AZ 85209-2274
(602) 549-2221
Mailing address
1921 S ALMA SCHOOL RD STE 309, MESA, AZ 85210-3039
(602) 549-2221
(480) 361-7910
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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