Saguaro Foundation Community Living Programs

NPI #1427402965 in Somerton, Arizona

Provider Information

NPI Number: 1427402965
Entity Type: Organization
Organization Name: Saguaro Foundation Community Living Programs
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Apr 21, 2016
Last Updated: Apr 21, 2016

Practice Location

Address: 726 W. JACKSON STREET
City: Somerton
State: Arizona
ZIP Code: 85350
Phone: (928) 627-0514

Authorized Official

Name: MR. MICHAEL KERRY VAN GUILDER, M.S.
Title: EXECUTIVE DIRECTOR
Phone: (928) 783-6069

Specialties & Taxonomy Codes

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

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