Individual
ELENA BABETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22432 N 80TH LN, PEORIA, AZ 85383-2149
(623) 203-4708
(623) 321-6888
Mailing address
22432 N 80TH LN, PEORIA, AZ 85383-2149
(623) 203-4708
(623) 321-6888
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/12/2016
Last updated
05/02/2023
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