Organization
THE FAMILY HOUSE BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MUGABO (CEO)
(207) 482-9832
Entity
Organization
Contact information
Practice address
1323 S 173RD LN, GOODYEAR, AZ 85338-1949
(207) 482-9832
Mailing address
5518 W CARSON RD, LAVEEN, AZ 85339-2270
(207) 482-9832
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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