Organization
ARIZONA'S PINAL COUNTY YOUTH @ CABABI HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE B PERRY (ADMINISTRATOR)
(520) 494-9723
Entity
Organization
Contact information
Practice address
14643 S CABABI ROAD, ARIZONA CITY, AZ 85223-1427
(520) 494-9723
Mailing address
PO BOX 1427, ARIZONA CITY, AZ 85223-1427
(520) 494-9723
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH3220
AZ
Other
Enumeration date
04/28/2009
Last updated
05/01/2009
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