Organization
CRIMSON LIVING FACILITY LLC
Active
Other names
Crimson Living Facility LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAR FERGUSON (OWNER/ ADMINISTRATOR)
(925) 481-1445
Entity
Organization
Contact information
Practice address
3322 S 66TH LN, PHOENIX, AZ 85043-1961
(925) 481-1445
Mailing address
3322 S 66TH LN, PHOENIX, AZ 85043-1961
(925) 481-1445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
06/01/2023
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