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Organization
ABSOLUTE CARE LLC
Active
Organization
ABSOLUTE CARE LLC
Active
Other names
Ark of Angel Behavioral Home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY MALLARI OMD, MSN, BA, RN (CLINICAL DIRECTOR - CNL)
(602) 888-2468
Entity
Organization
Contact information
Practice address
3842 E IRWIN AVE, MESA, AZ 85206-3852
(602) 394-2689
Mailing address
3842 E IRWIN AVE, MESA, AZ 85206-3852
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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