# CASA MAIA ALH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922466853
- **Authorized official:** BIANCA GILMORE (OWNER/ MANAGER)
- **Authorized official phone:** (480) 677-9776

## Contact information

- **Practice address:** 3554 E TONTO PL, CHANDLER, AZ 85249-5472
- **Practice address phone:** (480) 626-9328
- **Practice address fax:** (480) 265-9996
- **Mailing address:** 3554 E TONTO PL, CHANDLER, AZ 85249-5472
- **Mailing address phone:** (480) 626-9328
- **Mailing address fax:** (480) 265-9996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | AL8946H | AZ | Yes |

## Other

- **Enumeration date:** 02/06/2016
- **Last updated:** 02/06/2016
