Organization · NPI-2
Alliance Behavioral Care LLC
Community Based Residential Treatment Facility, Mental Illness · Gilbert, AZ
NPI number1487295671
StatusActive
Last updated in NPPESSep 30, 2019
Details
- NPI
- 1487295671
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Behavioral Care LLC
- Organization subpart
- No
- Enumeration date
- Sep 30, 2019
- Last updated
- Sep 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
Practice location
3447 E Dublin StGilbert, AZ 85295-3509
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 C Breedlove
Ceo
4805906558
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