MUCO BEHAVIORAL HEALTH RESIDENTIAL HOME 2

GLENDALE, AZ
NPI1396253514
Entity TypeOrganization
Authorized ContactDEOGRATIAS BARANSAKA
Administrator
623-760-8378
Organization Subpart ?Yes
Primary Taxonomy251S00000X 
(Licence: AZ  BH5344)
Enumeration Date2018-01-22
Last Update Date2018-01-22
Business Address
MUCO BEHAVIORAL HEALTH RESIDENTIAL HOME 2
9010 N 63RD DR
GLENDALE, AZ 85302-4031
Phone number: 623-328-5688
Mailing Address
MUCO BEHAVIORAL HEALTH RESIDENTIAL HOME 2
9010 N 63RD DR
GLENDALE, AZ 85302-4031
Phone number: 623-328-5688