Mattie's Care House, LLC

NPI #1447601448 in Laveen, Arizona

Provider Information

NPI Number: 1447601448
Entity Type: Organization
Organization Name: Mattie's Care House, LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jun 30, 2016
Last Updated: Jul 14, 2016

Practice Location

Address: 6823 W PLEASANT LN
City: Laveen
State: Arizona
ZIP Code: 85339-2660
Phone: (602) 686-0419

Authorized Official

Name: LATOYA J. LEE
Title: CEO/ADMINISTRATOR
Phone: (602) 686-0419

Specialties & Taxonomy Codes

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

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