Success Behavioral Group Home LLC
NPI #1942967989 in Tolleson, Arizona
Provider Information
- NPI Number
- 1942967989
- Entity Type
- Organization
- Organization Name
- Success Behavioral Group Home LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 24, 2021
- Last Updated
- Nov 24, 2021
Practice Location
Authorized Official
- Name
- EMMANUEL ISRAEL OMASERE
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (602) 558-5847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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