Muco Behavioral Health Residential Home 2
Muco Behavioral Health Residential Home 2 is a Community/Behavioral Health Agency in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2018.
- Licensed in
- AZ
- In the registry since
- 2018
Practice location Address checks out
9010 N 63rd DrGlendale, AZ 85302-4031
Phone: (623) 328-5688
Fax: (623) 328-5688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence BH5344 (AZ) |
|---|
Record details
| NPI number | 1396253514 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Muco Behavioral Health Residential Home, LLC |
| Authorized official | Deogratias Baransaka — Administrator · (623) 760-8378 |
| NPI enumerated | January 22, 2018 |
| Last updated in NPPES | January 22, 2018 |
| Mailing address | 9010 N 63rd Dr, Glendale, AZ 85302-4031 |
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