Alliance Behavioral Care LLC
Community Based Residential Treatment Facility, Mental Illness in Gilbert, AZ. Organization (NPI-2).
NPI number1295353019
StatusActive
Last updated in NPPESJul 8, 2020
Details
- NPI
- 1295353019
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Behavioral Care LLC
- Organization subpart
- No
- Enumeration date
- Jul 8, 2020
- Certification date
- Jul 8, 2020
- Last updated
- Jul 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
Practice location
2840 S Chaparral BlvdGilbert, AZ 85295-7675
Phone 480-590-6558 · Fax 480-590-6559
Mailing address
4515 S Lakeshore Dr Ste 105Tempe, AZ 85282-7048
Phone 480-590-6558 · Fax 480-590-6559
Authorized official
Robert Crawford Breedlove
Ceo
4805906558
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