Guardians of the Four Corners LLC
NPI #1588380117 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1588380117
- Entity Type
- Organization
- Organization Name
- Guardians of the Four Corners LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Oct 14, 2022
- Last Updated
- Apr 10, 2024
Practice Location
- Address
- 38039 N DENA DR
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85140-4426
- Phone
- (480) 220-5864
Authorized Official
- Name
- JESSICA DERY, PHMNP-BC
- Title
- OWNER
- Phone
- (480) 220-5864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
| Community Based Residential Treatment Facility, Mental Illness |
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