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1598359184
DIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC
GOODYEAR, AZ
NPI
1598359184
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Entity Type
Organization
Authorized Contact
LUCAS OLATUNDE
CEO
602-628-6708
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2021-02-24
Last Update Date
2021-02-24
Business Address
DIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC
17496 W ELAINE DR
GOODYEAR, AZ 85338-1981
Phone number: 602-628-6708
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Mailing Address
DIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC
17496 W ELAINE DR
GOODYEAR, AZ 85338-1981
Phone number:
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