Sanctuary
NPI #1891048062 in Chalan Pago, Guam
Provider Information
- NPI Number
- 1891048062
- Entity Type
- Organization
- Organization Name
- Sanctuary
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Oct 24, 2012
- Last Updated
- Oct 24, 2012
Practice Location
- Address
- 406 MAIMAI ST
- City
- Chalan Pago
- State
- Guam
- ZIP Code
- 96910-5669
- Phone
- (671) 475-7101
Authorized Official
- Name
- MRS. MILDRED Q. LUJAN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (671) 475-7101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Community/Behavioral Health |
| Early Intervention Provider Agency |
| Point of Service |
| Substance Abuse Rehabilitation Facility |
| Residential Treatment Facility, Emotionally Disturbed Children |
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