Organization
ELMWOOD GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PUTTOFF (CEO)
(480) 917-9301
Entity
Organization
Contact information
Practice address
2355 E ELMWOOD ST, MESA, AZ 85213-5909
(480) 917-9301
Mailing address
2190 N GRACE BLVD, CHANDLER, AZ 85225-3416
(480) 917-9301
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
AZ
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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