Organization · NPI-2
Arizona Behavioral Care Homes LLC
Community Based Residential Treatment Facility, Mental Illness · Gilbert, AZ
NPI number1518192046
StatusActive
Last updated in NPPESFeb 19, 2019
Details
- NPI
- 1518192046
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Behavioral Care Homes LLC
- Organization subpart
- No
- Enumeration date
- May 28, 2009
- Last updated
- Feb 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH3280 | AZ | Yes |
Practice location
7030 S Star DrGilbert, AZ 85298-4126
Phone 480-332-4279 · Fax 480-306-5732
Mailing address
3530 S Hollyhock PlChandler, AZ 85248-4231
Phone 602-904-2772 · Fax 480-699-9720
Authorized official
Robert Crawford Breedlove
Ceo
4808401601
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