Organization
ALLENA'S HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES FLANNIGAN IV (OWNER)
(602) 582-4166
Entity
Organization
Contact information
Practice address
2225 W ALTA VISTA RD, PHOENIX, AZ 85041-5420
(602) 935-1002
Mailing address
5417 S 53RD AVE, LAVEEN, AZ 85339-2405
(602) 935-1002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
08/01/2023
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