Organization
DAJUSHA INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGITT LYNN YOUNG (CEO)
(623) 846-0420
Entity
Organization
Contact information
Practice address
4815 W CRITTENDEN LN, PHOENIX, AZ 85031-3145
(623) 846-0420
(623) 247-0968
Mailing address
PO BOX 5698, GLENDALE, AZ 85312-5698
(623) 846-0420
(623) 247-0968
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH2952
AZ
Other
Enumeration date
11/10/2007
Last updated
11/10/2007
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