Organization
BENTLEY'S TRANSITION LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARTLYNE ALEXIS RN (REGISTERED NURSE)
(602) 539-2411
Entity
Organization
Contact information
Practice address
6432 SOUTH 23RD. AVENUE, PHOENIX, AZ 85041-5357
(602) 539-2411
Mailing address
6432 S 23RD AVE, PHOENIX, AZ 85041-5357
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
AZ
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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