Organization
GOOD CARE NETWORK LLC
Active
Other names
Good Care Network LLC ventura
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE GIDDINGS (ADMINISTRATOR)
(313) 434-2723
Entity
Organization
Contact information
Practice address
2215 VENTURA DR, BULLHEAD CITY, AZ 86442-5824
(928) 219-4195
Mailing address
2744 MONA LISA ST, HENDERSON, NV 89044-0319
(313) 434-2723
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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