NPI 1447658943

Moses Behavioral Care

Organisation Physical Disabilities Residential Treatment Facility Surprise, AZ

Practice location

Address: 17622 W Port Royale Ln, Surprise, AZ 85388-7792
Phone: (480) 286-3366

Authorised official

Name: Steve Agboola
Title: Administrator
Phone: (480) 589-6692

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence BH4520 (AZ)

Other Residential Treatment Facility, Physical Disabilities providers in Arizona →

Registry record

NPI: 1447658943
Entity type: Organization
NPI issued: 15 Dec 2014
Record last updated: 5 Mar 2024

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.