Organization
JUSSAMAL MANOR 11
Active
Parent organization
JUSSAMAL MANOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUSSAMAL MANOR
Authorized official
MR. SAMUEL NJUGUNA MARIRA CEO. (CEO./PROGRAM DIRECTOR)
(480) 570-6245
Entity
Organization
Contact information
Practice address
641 S. KAREN DR., CHANDLER, AZ 85224
(480) 621-8640
(480) 257-3447
Mailing address
641 S. KAREN DR., CHANDLER, AZ 85224
(480) 621-8640
(480) 257-3447
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4726
AZ
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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