Organization · NPI-2

Abba Behavioral Health,llc

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

NPI number1265967012
StatusActive
Last updated in NPPESApr 28, 2017

Details

NPI
1265967012
Entity type
Organization (NPI-2)
Legal business name
Abba Behavioral Health,llc
Organization subpart
No
Enumeration date
Apr 28, 2017
Last updated
Apr 28, 2017

Taxonomy and licenses

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

Practice location

21388 N 106th Ln
Peoria, AZ 85382-0522

Phone 623-414-0536

Mailing address

21388 N 106th Ln
Peoria, AZ 85382-0522

Phone 623-414-0536

Authorized official

Lesley Bradley
Administrator
6234140536

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