Organization
SAPPHIRE BEHAVIORAL HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIC JOHN BALORIA (OWNER)
(623) 455-1194
Entity
Organization
Contact information
Practice address
5217 W BEAUTIFUL LN, LAVEEN, AZ 85339-2199
(623) 455-1194
Mailing address
5217 W BEAUTIFUL LN, LAVEEN, AZ 85339-2199
(623) 455-1194
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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