Cactus Sage LLC

NPI #1336881911 in Laveen, Arizona

Provider Information

NPI Number: 1336881911
Entity Type: Organization
Organization Name: Cactus Sage LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Apr 12, 2022
Last Updated: Apr 12, 2022

Practice Location

Address: 6522 W LATONA RD
City: Laveen
State: Arizona
ZIP Code: 85339-3083
Phone: (623) 225-1240

Authorized Official

Name: GERALDINE MUTWOL
Title: CEO
Phone: (623) 225-1240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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