Organization
ALLIANCE BEHAVIORAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAWFORD BREEDLOVE (CEO)
(225) 802-1717
Entity
Organization
Contact information
Practice address
6102 N 14TH ST, PHOENIX, AZ 85014-1740
(225) 802-1717
Mailing address
4515 S LAKESHORE DR STE 105, TEMPE, AZ 85282-7048
(480) 590-6558
(480) 590-6559
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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