Organization
ALTA VISTA GROUP HOME
Active
Other names
Three Springs, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BROOKE E BALCH (CFO)
(256) 880-3339
Entity
Organization
Contact information
Practice address
4108 E RAMSEY RD, HEREFORD, AZ 85615-8917
(520) 378-6466
(520) 378-6553
Mailing address
4108 E RAMSEY RD, HEREFORD, AZ 85615-8917
(520) 378-6466
(520) 378-6553
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH2414
AZ
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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