Organization · NPI-2

Arizona Bahvioral Care Homes Management Company

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

NPI number1275801839
StatusActive
Last updated in NPPESDec 9, 2011

Details

NPI
1275801839
Entity type
Organization (NPI-2)
Legal business name
Arizona Bahvioral Care Homes Management Company
Organization subpart
No
Enumeration date
Dec 9, 2011
Last updated
Dec 9, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental IllnessBH3981AZYes

Practice location

1469 E Ivanhoe St
Gilbert, AZ 85295-4934

Phone 480-332-4281 · Fax 480-306-5732

Mailing address

7030 S Star Dr
Gilbert, AZ 85298-4126

Phone 480-332-4281 · Fax 480-306-5732

Authorized official

Larry D Messer
Owner
4803324281

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