Ezra Group Home Llc - Mental Health Clinic in Laveen, AZ

Ezra Group Home Llc is a mental health clinic (Community/behavioral Health) in Laveen, Arizona. The current practice location for Ezra Group Home Llc is 6818 S 44th Ave, Laveen, Arizona. For appointments, you can reach them via phone at (602) 315-2058. The mailing address for Ezra Group Home Llc is 6818 S 44th Ave, Laveen, Arizona and phone number is (602) 315-2058.

Ezra Group Home Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1205584695. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (602) 315-2058.

Contact Information

Ezra Group Home Llc
6818 S 44th Ave
Laveen
AZ 85339-6252
(602) 315-2058
Not Available

Mental Health Clinic Profile

Full NameEzra Group Home Llc
SpecialityCommunity/behavioral Health
Location6818 S 44th Ave, Laveen, Arizona
Authorized Official Name and PositionZenebech Girma (ADMINISTRATOR)
Authorized Official Contact6023152058
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ezra Group Home Llc
6818 S 44th Ave
Laveen
AZ 85339-6252

Ph: (602) 315-2058
Ezra Group Home Llc
6818 S 44th Ave
Laveen
AZ 85339-6252

Ph: (602) 315-2058

NPI Details:

NPI Number1205584695
Provider Enumeration Date03/14/2022
Last Update Date03/14/2022
Certification Date03/14/2022

Medical Identifiers

Medical identifiers for Ezra Group Home Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205584695NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Primary

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