Angel Family Care, LLC
NPI #1104475763 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1104475763
- Entity Type
- Organization
- Organization Name
- Angel Family Care, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Sep 6, 2019
- Last Updated
- Jun 21, 2021
Practice Location
- Address
- 28370 N GOLD LN
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85143-6059
- Phone
- (480) 720-3393
Authorized Official
- Name
- MS. CHANTELLE EZINNE OGUADIMMA, LAC
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (480) 720-3393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
| Community/Behavioral Health |
| Community Based Residential Treatment Facility, Mental Illness |
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