Individual provider · NPI-1

Elena Babetz

Community Based Residential Treatment Facility, Mental Illness · Peoria, AZ

NPI number1073055737
StatusActive
Last updated in NPPESMay 2, 2023

Details

NPI
1073055737
Entity type
Individual (NPI-1)
Name
Elena Babetz
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 12, 2016
Certification date
May 2, 2023
Last updated
May 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Practice location

22432 N 80th Ln
Peoria, AZ 85383-2149

Phone 623-203-4708 · Fax 623-321-6888

Mailing address

22432 N 80th Ln
Peoria, AZ 85383-2149

Phone 623-203-4708 · Fax 623-321-6888

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Based Residential Treatment Facility, Mental Illness providers in Peoria, AZ