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Organization

ALLIANCE BEHAVIORAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT CRAWFORD BREEDLOVE (CEO)
(225) 802-1717
Entity
Organization

Contact information

Practice address
1101 E GOLDCREST ST, GILBERT, AZ 85297-3128
(225) 802-1717
(480) 840-1613
Mailing address
4645 S LAKESHORE DR STE 3, TEMPE, AZ 85282-7152
(225) 802-1717

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
02/19/2019
Last updated
02/19/2019
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