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1396253514
MUCO BEHAVIORAL HEALTH RESIDENTIAL HOME 2
GLENDALE, AZ
NPI
1396253514
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Entity Type
Organization
Authorized Contact
DEOGRATIAS BARANSAKA
Administrator
623-760-8378
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
(Licence: AZ BH5344)
Enumeration Date
2018-01-22
Last Update Date
2018-01-22
Business Address
MUCO BEHAVIORAL HEALTH RESIDENTIAL HOME 2
9010 N 63RD DR
GLENDALE, AZ 85302-4031
Phone number: 623-328-5688
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Mailing Address
MUCO BEHAVIORAL HEALTH RESIDENTIAL HOME 2
9010 N 63RD DR
GLENDALE, AZ 85302-4031
Phone number: 623-328-5688
Copy
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