Organization
REDFIELD BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVINE MUTETERI (CEO/ADMINISTRATOR)
(949) 247-9141
Entity
Organization
Contact information
Practice address
4842 W REDFIELD RD, GLENDALE, AZ 85306-4910
(949) 247-9141
Mailing address
4842 W REDFIELD RD, GLENDALE, AZ 85306-4910
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
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
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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