Organization
PACIFIC BEHAVIORAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET M FALCONS (ADMINISTRATOR)
(702) 626-7435
Entity
Organization
Contact information
Practice address
6344 E BROWN RD, MESA, AZ 85205-4843
(702) 626-7435
Mailing address
976 W ANGUS RD, SAN TAN VALLEY, AZ 85143-5105
(702) 626-7453
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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