Organization
ATLAS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVON D TELFORD (CEO)
(518) 522-3854
Entity
Organization
Contact information
Practice address
2118 N 77TH LN, PHOENIX, AZ 85035-5118
(480) 388-6417
Mailing address
2118 N 77TH LN, PHOENIX, AZ 85035-5118
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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