12TH AVE HOUSE 2
Residential Treatment Facilities at 12 Ave, Phoenix, AZ

License number
Arizona BH 3053
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: ELIZABETH SINGLETON
Title: ADMINISTRATOR
Phone: (602) 441-2691
Address
Address
9606 N 12Th Ave, Phoenix, AZ 85021
National Provider ID: 1841452091
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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