Just Liv Behavioral Home Llc | |
10227 N 56th Dr Glendale AZ 85302-1403 | |
(602) 203-5862 | |
Not Available |
Full Name | Just Liv Behavioral Home Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 10227 N 56th Dr, Glendale, Arizona |
Authorized Official Name and Position | Olivia Solanke (CEO) |
Authorized Official Contact | 6024898616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Just Liv Behavioral Home Llc 10227 N 56th Dr Glendale AZ 85302-1403 Ph: () - | Just Liv Behavioral Home Llc 10227 N 56th Dr Glendale AZ 85302-1403 Ph: (602) 203-5862 |
NPI Number | 1063136406 |
---|---|
Provider Enumeration Date | 09/29/2022 |
Last Update Date | 09/29/2022 |
Certification Date | 09/29/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063136406 | NPI | - | NPPES |
BH7580 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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