Provider / Organization | NPI | Date Certified |
---|---|---|
PAUL TONGA LANGI | 1275310468 | 2023-09-11 |
Paul Tonga Langi is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1275310468. Registration indicates Paul Tonga Langi is a provider of services with a specialization in Residential Treatment Facilities, Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, ) (Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities)
Entity Type | Individual |
Provider Name | Paul Tonga Langi BACHELOR'S DEGREE |
Practice Office Address | 36545 N TAKOTA TRL SAN TAN VALLEY, AZ US |
Practice Office Telephone | 8014720383 |
Mailing Address | 36545 N TAKOTA TRL SAN TAN VALLEY, AZ 851401349 US |
Business Telephone | 8014720383 |
Code | Practice | License No State |
---|---|---|
320600000X PRIMARY | Residential Treatment Facilities Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities | Q06202315485
AZ |