NPI 1114272416

Arizona Behavioral Care Homes LLC

Organisation Mental Illness Community Based Residential Treatment Facility Mesa, AZ

Practice location

Address: 1024 N Ridge Cir, Mesa, AZ 85203-5129
Phone: (480) 332-4281
Fax: (480) 306-5732
Mailing address: 4645 S Lakeshore Dr STE 3, Tempe, AZ 85282-7152

Authorised official

Name: Robert Crawford Breedlove
Title: Ceo
Phone: (480) 840-1601

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence BH4067 (AZ)

Other Community Based Residential Treatment Facility, Mental Illness providers in Arizona →

Registry record

NPI: 1114272416
Entity type: Organization
NPI issued: 23 Jul 2012
Record last updated: 7 Dec 2017

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.