NPI 1205357191

Konadu Family

Organisation Mental Illness Community Based Residential Treatment Facility Maricopa, AZ

Practice location

Address: 40030 W Coltin Way, Maricopa, AZ 85138
Phone: (520) 252-9164

Authorised official

Name: Alice Konadu
Title: Executive Director
Phone: (520) 252-9164

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Arizona →

Registry record

NPI: 1205357191
Entity type: Organization
NPI issued: 29 Jun 2017
Record last updated: 29 Jun 2017

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.