Organization
INFINITY GROUPS HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOZAMIL GABIR ABDELRAHMAN (OWNER)
(480) 907-4474
Entity
Organization
Contact information
Practice address
12643 N 22ND AVE, PHOENIX, AZ 85029-2652
(480) 907-4474
Mailing address
15111 N 33RD PL, PHOENIX, AZ 85032-4552
(480) 907-4474
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
BH4839
AZ
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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