NPI 1457828295

Behavioral Health 365

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

Practice location

Address: 2531 E Inglewood St, Mesa, AZ 85213-3510
Phone: (480) 770-6284
Mailing address: PO Box 21899, Mesa, AZ 85277-1899

Authorised official

Name: Mario Alvarez
Title: Administrator
Phone: (480) 978-6822

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: 1457828295
Entity type: Organization
NPI issued: 30 Oct 2018
Record last updated: 30 Oct 2018

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.