Organization
FJCM BEHAVIORAL HEALTHCARE
Active
Organization
FJCM BEHAVIORAL HEALTHCARE
Active
Parent organization
FJCM BEHAVIORAL HEALTHCARE
Other names
FJCM GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FJCM BEHAVIORAL HEALTHCARE
Authorized official
FAUSTIN BULONGO KAPELEMBA (MANAGER/DIRCTOR)
(602) 643-5723
Entity
Organization
Contact information
Practice address
2710 E VALENCIA DR, PHOENIX, AZ 85042-7081
(602) 268-7024
Mailing address
4730 W SAMANTHA WAY, LAVEEN, AZ 85339-2141
(602) 237-8660
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
320800000X
AZ
324500000X
Substance Abuse Rehabilitation Facility
Primary
32450000X
AZ
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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