Baraka House LLC

NPI #1104084383 in Phoenix, Arizona

Provider Information

NPI Number: 1104084383
Entity Type: Organization
Organization Name: Baraka House LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: May 24, 2008
Last Updated: Apr 13, 2022

Practice Location

Address: 13619 N 36TH AVE
City: Phoenix
State: Arizona
ZIP Code: 85029-1103
Phone: (602) 824-9100

Authorized Official

Name: DR. VICTOR OKORIE, M.A., PH.D., LPC
Title: DIRECTOR
Phone: (602) 524-0824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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