Provider Demographics
NPI:1164711750
Name:SINGLETON HOUSING,LLC
Entity Type:Organization
Organization Name:SINGLETON HOUSING,LLC
Other - Org Name:REAL HEALTH OUTPATIENT CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-626-8150
Mailing Address - Street 1:8102 N 23RD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-4962
Mailing Address - Country:US
Mailing Address - Phone:602-626-8150
Mailing Address - Fax:602-626-8406
Practice Address - Street 1:8102 N 23RD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-4962
Practice Address - Country:US
Practice Address - Phone:602-626-8150
Practice Address - Fax:602-626-8406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH3830251B00000X, 251K00000X, 252Y00000X, 347C00000X
AZ3830251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No347C00000XTransportation ServicesPrivate Vehicle