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DOMINIQUE GIST

Psychiatric Residential Treatment Facility

NPI: 1629674742Individual

Specialties, Licenses & Credentials

Community Based Residential Treatment Facility, Mental Illness

Code: 320800000X

Community/Behavioral Health

Code: 251S00000X

Substance Abuse Rehabilitation Facility

Code: 324500000X

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Code: 332800000X

Psychiatric Residential Treatment Facility

Code: 323P00000X

Contact & Hours

Address
8674 S 165TH AVE
GOODYEAR, AZ 85338

Quick Facts

NPI
1629674742
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
5
Locations
1

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