Organization
BURTON HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIAN RENEE HOMER (EXECUTIVE DIRECTOR)
(505) 382-1207
Entity
Organization
Contact information
Practice address
12312 W DELWOOD DR, ARIZONA CITY, AZ 85123
(505) 383-1207
Mailing address
12312 W DELWOOD DR, PO BOX 3699, ARIZONA CITY, AZ 85123
(505) 383-1207
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
AHCCCS
AZ
01
—
0000000
NONE
AZ
Enumeration date
04/11/2013
Last updated
04/11/2013
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