Organization
DIAMOND BEHAVIORAL HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIC JOHN BALORIA (ADMINISTRATOR)
(623) 455-1194
Entity
Organization
Contact information
Practice address
5645 E NISBET RD, SCOTTSDALE, AZ 85254-2433
(623) 455-1194
Mailing address
5645 E NISBET RD, SCOTTSDALE, AZ 85254-2433
(623) 455-1194
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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