Organization
INTEGRITY SQUARE BEHAVIORAL HOME
Active
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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