Organization · NPI-2

Alliance Behavioral Care LLC

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

NPI number1962968511
StatusActive
Last updated in NPPESFeb 19, 2019

Details

NPI
1962968511
Entity type
Organization (NPI-2)
Legal business name
Alliance Behavioral Care LLC
Organization subpart
No
Enumeration date
Feb 19, 2019
Last updated
Feb 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Practice location

1024 N Ridge Cir
Mesa, AZ 85203-5129

Phone 225-802-1717 · Fax 480-840-1613

Mailing address

4645 S Lakeshore Dr Ste 3
Tempe, AZ 85282-7152

Phone 225-802-1717

Authorized official

Robert Crawford Breedlove
Ceo
2258021717

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