Organization
MILESTONE RECOVERY TRANSITIONAL LIVING
Active
Parent organization
PLSN CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLSN CORP.
Authorized official
WELLENGTEN JENKINS (MEMBER-MANAGER)
(602) 421-6667
Entity
Organization
Contact information
Practice address
7340 W BETHANY HOME RD, GLENDALE, AZ 85303-4321
(520) 329-3283
Mailing address
8751 N 51ST AVE STE 108, GLENDALE, AZ 85302-4943
(602) 421-6667
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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