Success Behavioral Group Home LLC 1
NPI #1588524110 in Tolleson, Arizona
Provider Information
- NPI Number
- 1588524110
- Entity Type
- Organization
- Organization Name
- Success Behavioral Group Home LLC 1
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Nov 15, 2025
- Last Updated
- Nov 15, 2025
Practice Location
Authorized Official
- Name
- EWOMAZINO JOY OMASERE
- Title
- ADMINISTRATOR
- Phone
- (903) 917-8122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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