Organization
ECCLISIA HOUSE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SINGLETON (ADMINISTRATOR)
(602) 441-2691
Entity
Organization
Contact information
Practice address
831 E GREENWAY RD, PHOENIX, AZ 85042-5545
(602) 441-2691
Mailing address
831 E GREENWAY RD, PHOENIX, AZ 85042-5545
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH - 3050
AZ
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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