Organization
CALM HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDINE KABONGO (AUTHORIZED OFFICIAL)
(480) 474-6097
Entity
Organization
Contact information
Practice address
3567 E SIERRITA RD, SAN TAN VALLEY, AZ 85143-5949
(480) 474-6097
Mailing address
757 W MAGMA RD, SAN TAN VALLEY, AZ 85143-6005
(480) 474-6097
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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