Organization
GREAT XPECTATIONS LLC
Active
Organization
GREAT XPECTATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON ORANGE (DIRECTOR)
(480) 406-2313
Entity
Organization
Contact information
Practice address
4014 W CHRISTY DR, PHOENIX, AZ 85029-3958
(480) 406-2313
Mailing address
14955 W BELL RD UNIT 9108, SURPRISE, AZ 85374-8286
(480) 406-2313
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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