NPI 1043837263
Gem House LLC
Practice location
- Address
- 9225 W Willow Bend Ln, Phoenix, AZ 85037-2444
- Phone
- (207) 409-6515
Authorised official
- Name
- Aimee Nyirakanyana
- Title
- Administrator
- Phone
- (207) 409-6515
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1043837263
- Entity type
- Organization
- NPI issued
- 3 Jul 2020
- Record last updated
- 3 Jul 2020
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.