Organization · NPI-2

Absolute Care LLC

Psychiatric Residential Treatment Facility · Mesa, AZ

NPI number1689246795

StatusActive

Last updated in NPPESJul 16, 2021

Details

NPI: 1689246795
Entity type: Organization (NPI-2)
Legal business name: Absolute Care LLC
Organization subpart: No
Enumeration date: Jul 16, 2021
Certification date: Jul 16, 2021
Last updated: Jul 16, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
323P00000X	Psychiatric Residential Treatment Facility	–	–	Yes
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
251B00000X	Case Management	–	–
251S00000X	Community/Behavioral Health	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–

Other names

Ark Of Angel Behavioral Home (Doing Business As)

Practice location

3842 E Irwin Ave
Mesa, AZ 85206-3852

Phone 602-394-2689

Mailing address

3842 E Irwin Ave
Mesa, AZ 85206-3852

Authorized official

Randy Mallari
Clinical Director - Cnl
6028882468

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