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
1946 S 174TH LN, GOODYEAR, AZ 85338-1924
(602) 904-2772
Mailing address
4645 S LAKESHORE DR STE 3, TEMPE, AZ 85282-7152
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4568
AZ
Other
Enumeration date
02/23/2015
Last updated
12/07/2017
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