Organization
MATA RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN CLAUDE MATABARO (PROGRAM DIRECTOR)
(602) 549-1661
Entity
Organization
Contact information
Practice address
3809 S 64TH LN, PHOENIX, AZ 85043-0131
(602) 549-1661
(833) 467-1001
Mailing address
3809 S 64TH LN, PHOENIX, AZ 85043-0131
(602) 549-1661
(833) 467-1001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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