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1063974533
STARGATE BEHAVIORAL HEALTH SERVICES LLC
PHOENIX, AZ
NPI
1063974533
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Entity Type
Organization
Authorized Contact
SEKOU A DONZO
CEO
216-630-9350
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2019-04-03
Last Update Date
2020-01-28
Business Address
STARGATE BEHAVIORAL HEALTH SERVICES LLC
1924 W ALTA VISTA RD
PHOENIX, AZ 85041-5443
Phone number: 901-652-8154
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Mailing Address
STARGATE BEHAVIORAL HEALTH SERVICES LLC
1924 W ALTA VISTA RD
PHOENIX, AZ 85041-5443
Phone number: 901-652-8154
Copy
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