Arizona Behavioral Care Homes LLC
Community Based Residential Treatment Facility, Mental Illness in Gilbert, AZ. Organization (NPI-2).
NPI number1114492766
StatusActive
Last updated in NPPESOct 10, 2018
Details
- NPI
- 1114492766
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Behavioral Care Homes LLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2018
- Last updated
- Oct 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
Practice location
613 W Devon CtGilbert, AZ 85233-8029
Phone 480-840-1601 · Fax 480-840-1613
Mailing address
4645 S Lakeshore Dr Ste 3Tempe, AZ 85282-7152
Phone 480-840-1601 · Fax 480-840-1613
Authorized official
Robert Crawford Breedlove
Ceo
4808401601
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