Success Behavioral Group Home Llc 1
Specialty details in registry · Tolleson, AZ
At a glance
9557 W Agora Ln, Tolleson, AZ 85353-4565
NPPES record updated Nov 15, 2025. Public records can lag behind changes at a practice.
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Practice location
9557 W Agora LnTolleson, AZ 85353-4565
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 320700000X
- Enumeration date
- Nov 15, 2025
- Record updated
- Nov 15, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
320700000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
9557 W Agora LnTolleson, AZ 85353-4565
- Phone
- (602) 558-5847
- Fax
- (602) 671-6752
Mailing address
9557 W AGORA LNTOLLESON, AZ 853534565
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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