Organization
ARIZONA BEHAVIORAL CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CRAWFORD BREEDLOVE LMSW (CEO)
(480) 840-1601
Entity
Organization
Contact information
Practice address
16575 W ROOSEVELT ST, GOODYEAR, AZ 85338-6192
(623) 594-9064
(623) 925-9876
Mailing address
4645 S LAKESHORE DR STE 3, TEMPE, AZ 85282-7152
(480) 840-1601
(480) 840-1613
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH-3724
AZ
Other
Enumeration date
11/18/2010
Last updated
02/19/2019
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