Organization
PRATS RESIDENTIAL BEHAVIORAL HEALTH AGENCY III
Active
Other names
Dine Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GISELIA PRATS M.S. (DIRECTOR)
(602) 348-2115
Entity
Organization
Contact information
Practice address
3014 E EMILE ZOLA AVE, PHOENIX, AZ 85032-6049
(602) 348-2115
(602) 996-1577
Mailing address
3015 E GELDING DR, PHOENIX, AZ 85032-5032
(602) 348-2115
(602) 996-1577
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH3963
AZ
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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