Organization
AZ PEACE OF MIND BEHAVIORAL HEALTH HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVINE MUTETERI (ADMINISTRATOR)
(623) 214-6420
Entity
Organization
Contact information
Practice address
15622 W SIERRA ST, SURPRISE, AZ 85379-1038
(623) 214-6420
Mailing address
15622 W SIERRA ST, SURPRISE, AZ 85379-1038
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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