| Just Liv Behavioral Home Llc | |
|
10227 N 56th Dr Glendale AZ 85302-1403 | |
| (602) 203-5862 | |
| Not Available |
| Full Name | Just Liv Behavioral Home Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10227 N 56th Dr, Glendale, Arizona |
| Authorized Official Name and Position | Olivia Solanke (CEO) |
| Authorized Official Contact | 6024898616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Just Liv Behavioral Home Llc 10227 N 56th Dr Glendale AZ 85302-1403 Ph: () - | Just Liv Behavioral Home Llc 10227 N 56th Dr Glendale AZ 85302-1403 Ph: (602) 203-5862 |
| NPI Number | 1063136406 |
|---|---|
| Provider Enumeration Date | 09/29/2022 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063136406 | NPI | - | NPPES |
| BH7580 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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