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Organization

INTEGRITY SQUARE BEHAVIORAL HOME

Active
Other names
INTEGRITY SQUARE BEHAVIORAL HOME
Organization subpart
No

Provider details

NPI number
Authorized official
ALICE K BOATENG (OWNER)
(302) 602-9779
Entity
Organization

Contact information

Practice address
21398 N DUNCAN DR, MARICOPA, AZ 85138-2318
(302) 454-6851
Mailing address
21398 N DUNCAN DR, MARICOPA, AZ 85138-2318
(302) 454-6851

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary

Other

Enumeration date
09/05/2022
Last updated
09/05/2022
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