Organization
BRIGITTE GENO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGITTE U GENO (ADMINISTOR)
(602) 419-1332
Entity
Organization
Contact information
Practice address
8365 N 56TH DR, GLENDALE, AZ 85302-6028
(602) 419-1332
Mailing address
8365 N 56TH DR, GLENDALE, AZ 85302-6028
(602) 419-1332
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH-4392
AZ
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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