Organization
AFFINITY BEHAVIORAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAWFORD BREEDLOVE (AUTHORIZED OFFICIAL)
(480) 840-1601
Entity
Organization
Contact information
Practice address
16575 W ROOSEVELT ST, GOODYEAR, AZ 85338-6192
(623) 594-9064
Mailing address
5115 N DYSART RD # 437, LITCHFIELD PARK, AZ 85340-3032
(480) 840-1601
(480) 840-1613
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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