NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1093306409 |   |   |   | JOINT HEALING OPERATIONS ALPHA HOUSE LLC | 31 E VERNON AVE | PHOENIX | AZ | 850041338 |
1902411184 | FRIEDMAN | TROY |   |   | 31 E VERNON AVE | PHOENIX | AZ | 850041338 |
1952916538 | JACOBSON | DONALD | EUGENE JOSEPH |   | 264 S DORAN APT 1 | MESA | AZ | 852042237 |