KOFFI DZAKA

TUCSON, AZ
NPI1326867987
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: AZ  BH10286)
Enumeration Date2024-10-09
Last Update Date2024-10-09
Business Address
KOFFI DZAKA
6692 S STONE FLY DR
TUCSON, AZ 85757-1607
Phone number: 520-251-4186
Mailing Address
KOFFI DZAKA
4000 N CENTRAL AVE STE 100
PHOENIX, AZ 85012-3520
Phone number: 602-859-7794