Individual provider · NPI-1

Freweyne Abreha

Community Based Residential Treatment Facility, Mental Illness · Peoria, AZ

NPI number1710753728
StatusActive
Last updated in NPPESNov 30, 2023

Details

NPI
1710753728
Entity type
Individual (NPI-1)
Name
Freweyne Abreha
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 30, 2023
Certification date
Nov 30, 2023
Last updated
Nov 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Practice location

16521 N 71st Dr
Peoria, AZ 85382-4954

Phone 480-316-9130

Mailing address

16521 N 71st Dr
Peoria, AZ 85382-4954

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