Organization
SUNRISE MOUNTAIN BEHAVIORAL HEALTH
Active
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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