Soul Purpose Transitional Home LLC

NPI #1114659596 in Buckeye, Arizona

Provider Information

NPI Number: 1114659596
Entity Type: Organization
Organization Name: Soul Purpose Transitional Home LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jun 25, 2022
Last Updated: Nov 15, 2022

Practice Location

Address: 30041 W EARLL DR
City: Buckeye
State: Arizona
ZIP Code: 85396-3178
Phone: (480) 225-4044

Authorized Official

Name: MR. RICHARD F CADOGAN II, LPC
Title: COO
Phone: (480) 225-4044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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