| NPI | 1871181313 |
|---|---|
| Doing Business As | EBENEZER BEHAVIORAL CARE |
| Entity Type | Organization |
| Authorized Contact | ROGERS K BAGIA CEO 623-806-0479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |