Organization
ACOMA BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RWABUNEZA VIOLET MUSTARI (CEO)
(949) 449-4140
Entity
Organization
Contact information
Practice address
3437 W ACOMA DR, PHOENIX, AZ 85053-5620
(602) 888-6779
Mailing address
3437 W ACOMA DR, PHOENIX, AZ 85053-5620
(602) 888-6779
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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