Miss A's LLC

NPI #1851926166 in Peoria, Arizona

Provider Information

NPI Number: 1851926166
Entity Type: Organization
Organization Name: Miss A's LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Mar 6, 2020
Last Updated: Mar 6, 2020

Practice Location

Address: 9143 N 82ND LN
City: Peoria
State: Arizona
ZIP Code: 85345-4827
Phone: (623) 670-0039

Authorized Official

Name: ALLISA DENEKE
Title: ADMINISTRATOR
Phone: (623) 670-0039

Specialties & Taxonomy Codes

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

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