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1942967989
SUCCESS BEHAVIORAL GROUP HOME LLC
TOLLESON, AZ
NPI
1942967989
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Entity Type
Organization
Authorized Contact
EMMANUEL ISRAEL OMASERE
Chief Executive Officer
602-558-5847
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2021-11-24
Last Update Date
2021-11-24
Business Address
SUCCESS BEHAVIORAL GROUP HOME LLC
8733 W CORDES RD
TOLLESON, AZ 85353-8606
Phone number: 602-558-5847
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Mailing Address
SUCCESS BEHAVIORAL GROUP HOME LLC
8733 W CORDES RD
TOLLESON, AZ 85353-8606
Phone number: 602-558-5847
Copy
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