Organization
JRW RESIDENTIAL SERVICES LLC
Active
Organization
JRW RESIDENTIAL SERVICES LLC
Active
Other names
DreamLife Residential Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON ALEXANDER WRIGHT (MANAGING PARTNER/ASST.ADMINISTRATOR)
(623) 210-4872
Entity
Organization
Contact information
Practice address
2428 W SAGEBRUSH DR, PHOENIX, AZ 85085-5026
(623) 234-8818
(623) 242-1096
Mailing address
3906 W DARROW ST, PHOENIX, AZ 85041-6010
(623) 210-4872
(623) 242-1096
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5262
AZ
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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