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1770123614
SUPPORTIVE COMMUNITY SERVICES LLC
PHOENIX, AZ
NPI
1770123614
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Entity Type
Organization
Authorized Contact
NIESHA S. ALLEN
Director
702-526-4573
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2020-01-08
Last Update Date
2020-01-08
Business Address
SUPPORTIVE COMMUNITY SERVICES LLC
2432 W PEORIA AVE
PHOENIX, AZ 85029-4726
Phone number: 702-526-4573
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Mailing Address
SUPPORTIVE COMMUNITY SERVICES LLC
3454 WHITMAN FALLS DR
LAS VEGAS, NV 89129-6355
Phone number: 702-526-4573
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