Organization · NPI-2

Arizona Behavioral Care Homes LLC

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

NPI number1619342201
StatusActive
Last updated in NPPESDec 18, 2017

Details

NPI
1619342201
Entity type
Organization (NPI-2)
Legal business name
Arizona Behavioral Care Homes LLC
Organization subpart
No
Enumeration date
Dec 8, 2015
Last updated
Dec 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental IllnessBH4766AZYes

Practice location

1101 E. Goldcrest St
Gilbert, AZ 85297

Phone 480-840-1601 · Fax 480-840-1613

Mailing address

4645 S Lakeshore Dr
Suite #3
Tempe, AZ 85282

Phone 480-840-1601 · Fax 480-840-1613

Authorized official

Larry D. Messer
Owner
4808401601

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