Organization
ALLIANCE BEHAVIORAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C BREEDLOVE (CEO)
(480) 590-6558
Entity
Organization
Contact information
Practice address
2107 E GENEVA DR, TEMPE, AZ 85282-4039
(480) 590-6558
(480) 590-6559
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
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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