Organization
CARE ONE BEHAVIORAL HEALTH GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE BUNDU CAMPBELL (MANAGER)
(702) 957-7817
Entity
Organization
Contact information
Practice address
15550 W HARVARD ST APT 123, GOODYEAR, AZ 85395-7533
(702) 957-7817
Mailing address
15550 W HARVARD ST APT 123, GOODYEAR, AZ 85395-7533
(702) 957-7817
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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