Organization
ARIZONA BEHAVIORAL CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CRAWFORD BREEDLOVE (CEO)
(480) 840-1601
Entity
Organization
Contact information
Practice address
613 W DEVON CT, GILBERT, AZ 85233-8029
(480) 840-1601
(480) 840-1613
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
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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