Organization
ARIZONA BEHAVIORAL CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CRAWFORD BREEDLOVE LMSW (CEO)
(480) 840-1601
Entity
Organization
Contact information
Practice address
4349 N 161ST AVE, GOODYEAR, AZ 85395-6439
(480) 840-1601
(480) 840-1613
Mailing address
4645 S LAKESHORE DR STE 3, TEMPE, AZ 85282-7152
(480) 840-1601
(480) 840-1613
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5316
AZ
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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