Organization
ARIZONA BEHAVIORAL CARE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC DEVON SIMS SR. (CEO)
(602) 904-2772
Entity
Organization
Contact information
Practice address
560 N 159TH LN, GOODYEAR, AZ 85338-3276
(602) 904-2772
Mailing address
560 N 159TH LANE, GOODYEAR, AZ 85338
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
BH427-
AZ
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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