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Angel Family Care, LLC

Community Based Residential Treatment Facility, Mental Illness in San Tan Valley, AZ. Organization (NPI-2).

NPI number1104475763
StatusActive
Last updated in NPPESJun 21, 2021

Details

NPI
1104475763
Entity type
Organization (NPI-2)
Legal business name
Angel Family Care, LLC
Organization subpart
No
Enumeration date
Sep 6, 2019
Certification date
Jun 21, 2021
Last updated
Jun 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––
251S00000X Community/Behavioral Health––

Practice location

28370 N Gold Ln
San Tan Valley, AZ 85143-6059

Phone 480-720-3393

Mailing address

28370 N Gold Ln
San Tan Valley, AZ 85143-6059

Phone 480-720-3393

Authorized official

Chantelle Ezinne Oguadimma
Chief Executive Officer
4807203393

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Other Mental Illness Community Based Residential Treatment Facility providers in San Tan Valley, AZ

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