NPI 1265050876

Arizona Alternative Support, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Maricopa, AZ

Practice location

Address: 36379 W El Greco St, Maricopa, AZ 85138-5323
Phone: (774) 253-7365
Mailing address: 621 S Wayne Dr, Chandler, AZ 85225-2817

Authorised official

Name: Irene N Mulondo
Title: Administrator
Phone: (774) 253-7365

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Registry record

NPI: 1265050876
Entity type: Organization
NPI issued: 9 Jul 2020
Record last updated: 9 Jul 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.