| Success Residence LLC | |
|
5120 E Wallace Way San Tan Valley AZ 85143-5161 | |
| (917) 891-4320 | |
| Not Available |
| Full Name | Success Residence LLC |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5120 E Wallace Way, San Tan Valley, Arizona |
| Authorized Official Name and Position | Maama Abukari (ADMINISTRATOR) |
| Authorized Official Contact | 9178914320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Success Residence LLC 5120 E Wallace Way San Tan Valley AZ 85143-5161 Ph: (917) 891-4320 | Success Residence LLC 5120 E Wallace Way San Tan Valley AZ 85143-5161 Ph: (917) 891-4320 |
| NPI Number | 1225621485 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 02/18/2021 |
| Certification Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225621485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Primary |
Manes and Miracles Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43421 N Friend Ave, San Tan Valley, AZ 85140 Phone: 480-359-6470 |
Success Residence LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2408 E Olivine Rd, San Tan Valley, AZ 85143 Phone: 917-891-4320 |
Peace of Mind Counseling Janna Bolingbroke Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5165 E Gummite Dr, San Tan Valley, AZ 85143 Phone: 602-403-1676 |
Global Group Homes Az, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3560 E Dakota Dr, San Tan Valley, AZ 85143 Phone: 480-659-6331 |
Keys to Success, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 983 E Stirrup Ln, San Tan Valley, AZ 85143 Phone: 602-835-9797 |
Playconnect LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43507 N Ironwood Dr, San Tan Valley, AZ 85140 Phone: 480-331-2256 |