OrganizationActive
4 a Health Care LLC
NPI 1689293177 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Phoenix, AZ
Provider details
- NPI number
- 1689293177
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Solomon Anthony, Owner
Practice location
8330 N 19th Ave Apt 2095
Phoenix, AZ 85021-5277
Phone: (480) 200-2033
Mailing address
8330 N 19th Ave Apt 2095
Phoenix, AZ 85021-5277
Registry dates
- Enumerated
- 2020-04-14
- Last updated
- 2020-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.