Bonita Place LLC
NPI #1477270098 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1477270098
- Entity Type
- Organization
- Organization Name
- Bonita Place LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Oct 24, 2022
- Last Updated
- Oct 24, 2022
Practice Location
- Address
- 1189 E BONITA PL
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-2906
- Phone
- (520) 233-7679
Authorized Official
- Name
- TIANNA CANN
- Title
- ADMINISTRATOR
- Phone
- (520) 840-3182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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