Organization
MB BEHAVIORAL RECOVERY & EMPOWERMENT LLC
Active
Organization
MB BEHAVIORAL RECOVERY & EMPOWERMENT LLC
Active
Other names
MB EMPOWERMENT
Organization subpart
No
Provider details
NPI number
Authorized official
BREANGELA MYCHEAL WHITE (OWNER)
(602) 435-8297
Entity
Organization
Contact information
Practice address
7303 E MAIN ST STE 112, MESA, AZ 85207-8325
(602) 435-8297
Mailing address
2942 N 24TH ST STE 114, PHOENIX, AZ 85016-7849
(602) 435-8297
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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