NPI 1033803309

Success Residence LLC

Organisation Community/Behavioral Health Agency San Tan Valley, AZ

Practice location

Address: 2408 E Olivine Rd, San Tan Valley, AZ 85143-4908
Phone: (917) 891-4320
Mailing address: 5120 E Wallace Way, San Tan Valley, AZ 85143-5161

Authorised official

Name: Maama Abukari
Title: Employee
Phone: (917) 891-4320

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Arizona →

Registry record

NPI: 1033803309
Entity type: Organization
NPI issued: 8 Jun 2023
Record last updated: 8 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.