Organization
COMFORT BEHAVIOR HEALTH RESIDENTIAL CARE LLC
Active
Other names
Comfort Behavioral Health Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARD MALETA (OWNER/ADMINISTRATOR)
(602) 923-8428
Entity
Organization
Contact information
Practice address
14235 N 28TH ST, PHOENIX, AZ 85032-5040
(602) 923-8428
(602) 923-8428
Mailing address
14235 N 28TH ST, PHOENIX, AZ 85032-5040
(602) 923-8428
(602) 923-8428
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH5110
AZ
320800000X
Mental Illness Community Based Residential Treatment Facility
BH5110
AZ
Other
Enumeration date
04/18/2017
Last updated
08/10/2017
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