Nirvana Squared LLC

NPI #1073188629 in Phoenix, Arizona

Provider Information

NPI Number
1073188629
Entity Type
Organization
Organization Name
Nirvana Squared LLC
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
May 26, 2021
Last Updated
May 26, 2021

Practice Location

Address
1027 E SELDON LN
State
Arizona
ZIP Code
85020-3259
Phone
(301) 366-5675

Authorized Official

Name
MR. TRAVIS PLUMMER
Title
CEO
Phone
(301) 366-5675

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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