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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