Organization
SUNRISE MOUNTAIN BEHAVIORAL HEALTH
Active
Other names
Sunrise Mountain Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALINE INDATWA DR (ADMINISTRATOR)
(480) 233-2544
Entity
Organization
Contact information
Practice address
17733 W CASSIA WAY, GOODYEAR, AZ 85338-6430
(480) 233-2544
Mailing address
17733 W CASSIA WAY, GOODYEAR, AZ 85338-6430
(480) 233-2544
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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