Organization
GRACEVIEW BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MUTHONI (ADMINISTRATOR)
(480) 206-8584
Entity
Organization
Contact information
Practice address
9531 S 16TH DR, PHOENIX, AZ 85041-5631
(480) 206-8584
(602) 680-3323
Mailing address
3909 W WOOD DR, PHOENIX, AZ 85029-1952
(480) 206-8584
(602) 680-3323
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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