Organization
ARIZONA BEHAVIORAL CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CRAWFORD BREEDLOVE LMSW (CEO)
(480) 840-1601
Entity
Organization
Contact information
Practice address
1024 N RIDGE CIR, MESA, AZ 85203-5129
(480) 332-4281
(480) 306-5732
Mailing address
4645 S LAKESHORE DR STE 3, TEMPE, AZ 85282-7152
(480) 840-1601
(480) 840-1613
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4067
AZ
Other
Enumeration date
07/23/2012
Last updated
12/07/2017
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