Arizona Behvaioral Care Homes, Llc

NPI 1114272416 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1114272416
Enumeration Date 07/23/2012
Last Updated 07/23/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LARRY D LARRY
Position OWNER/CLINICAL DIRECTOR
Phone (480) 332-4281
Fax (480) 306-5732
Practice Location
1024 N RIDGE CIR
MESA AZ, 85203-5129, US
Phone (480) 332-4281
Fax (480) 306-5732
Business Location
7030 S STAR DR
GILBERT AZ, 85298-4126, US
Phone (480) 332-4279
Fax (480) 306-5732
Toxanomy
Taxonomy Code 320800000X
License State Arizona
License Number BH4067
Remove 1114272416 NPI Number
 

According to our database, Arizona Behvaioral Care Homes, Llc NPI is 1114272416, taxonomy code is 320800000X and license number is BH4067, license state is located at Arizona. Arizona Behvaioral Care Homes, Llc physically located at 1024 N Ridge Cir, Mesa AZ, 85203-5129. NPI Number 1033115704 has the healthcare provider type.

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1114272416 NPI number is provided on an as is basis without warranty of any kind. 1114272416 is maintained by the National Plan & Provider Enumeration System. The contents of Arizona Behvaioral Care Homes, Llc are for informational purposes only.