Organization
FOUR DIRECTIONS LLC
Active
Parent organization
FOUR DIRECTIONS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUR DIRECTIONS LLC
Authorized official
MR. ROMUALDO MUNOZ (OWNER/PROGRAM ADMINISTRATOR)
(480) 332-9276
Entity
Organization
Contact information
Practice address
37724 W AMALFI AVE, MARICOPA, AZ 85138
(480) 699-2344
(480) 699-3035
Mailing address
PO BOX 8310, SCOTTSDALE, AZ 85252
(480) 699-2344
(480) 699-3035
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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