NPI 1013524230

Civara Behavioral Health LLC

Organisation Psychiatric Residential Treatment Facility Phoenix, AZ

Practice location

Address: 4010 W Cactus Rd, Phoenix, AZ 85029-2905
Phone: (480) 329-9585
Fax: (602) 237-5211
Mailing address: 7020 E Moreland St, Scottsdale, AZ 85257-3318

Authorised official

Name: Vittelian Forbes
Title: Owner
Phone: (480) 329-9585

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1013524230
Entity type: Organization
NPI issued: 1 Oct 2020
Record last updated: 18 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.