Individual
FRANKLIN FONUTCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1087 W AVALON CANYON DR, CASA GRANDE, AZ 85122-6706
(240) 660-6597
Mailing address
1087 W AVALON CANYON DR, CASA GRANDE, AZ 85122-6706
(240) 660-6597
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
11/10/2022
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