Organization · NPI-2

Arizona Behavioral Care Homes LLC

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

NPI number1114272416
StatusActive
Last updated in NPPESDec 7, 2017

Details

NPI
1114272416
Entity type
Organization (NPI-2)
Legal business name
Arizona Behavioral Care Homes LLC
Organization subpart
No
Enumeration date
Jul 23, 2012
Last updated
Dec 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental IllnessBH4067AZYes

Practice location

1024 N Ridge Cir
Mesa, AZ 85203-5129

Phone 480-332-4281 · Fax 480-306-5732

Mailing address

4645 S Lakeshore Dr Ste 3
Tempe, AZ 85282-7152

Phone 480-840-1601 · Fax 480-840-1613

Authorized official

Robert Crawford Breedlove
Ceo
4808401601

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