Organization
STATE OF ARIZONA STATE DEPT OF FINANCE
Active
Parent organization
STATE OF ARIZONA STATE DEPT OF FINANCE
Other names
Arizona Community Protection and Treatment Center (ACPTC)
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF ARIZONA STATE DEPT OF FINANCE
Authorized official
MR. AARON BOWEN PSY.D. (CHIEF EXECUTIVE OFFICER)
(602) 220-7000
Entity
Organization
Contact information
Practice address
2500 E VAN BUREN ST, PHOENIX, AZ 85008-6037
(602) 220-6191
Mailing address
2500 E VAN BUREN ST, PHOENIX, AZ 85008-6037
(602) 220-6191
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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