NPI 1588524110

Success Behavioral Group Home LLC 1

Organisation Physical Disabilities Residential Treatment Facility Tolleson, AZ

Practice location

Address: 9557 W Agora Ln, Tolleson, AZ 85353-4565
Phone: (602) 558-5847
Fax: (602) 671-6752

Authorised official

Name: Ewomazino Joy Omasere
Title: Administrator
Phone: (903) 917-8122

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Arizona →

Registry record

NPI: 1588524110
Entity type: Organization
NPI issued: 15 Nov 2025
Record last updated: 15 Nov 2025

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.