Cactus Sage LLC
NPI #1568132959 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1568132959
- Entity Type
- Organization
- Organization Name
- Cactus Sage LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Sep 16, 2021
- Last Updated
- Sep 16, 2021
Practice Location
- Address
- 1445 E SUNSET DR
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-1785
- Phone
- (623) 225-1240
Authorized Official
- Name
- ADAM MUTWOL
- Title
- ADMIN
- Phone
- (623) 225-1240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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