Organization
BARAKA DDD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAHRA PLAGENS (CEO)
(623) 570-1138
Entity
Organization
Contact information
Practice address
5450 E DOLPHIN AVE, MESA, AZ 85206-2205
(623) 570-1138
Mailing address
5800 W WETHERSFIELD DR, GLENDALE, AZ 85304-1841
(623) 570-1138
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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