03D2124350 CLIA NUMBER - Bbc Graceful Homes

Laboratory Demographics

CLIA Number: 03D2124350

Facility Name: Bbc Graceful Homes

Facility Address:
808 N 74th St,
Scottsdale, AZ
ZIP 85257
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Facility Phone Number: (602) 626-8112

Facility Type: COMPREHENSIVE OUTPATIENT REHAB

Certificate Type: Waiver

NPI Number: 1710403712
320800000X - Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CLIA Record

Field Name Field Value
CLIA Number 03D2124350
LAB Type COMPREHENSIVE OUTPATIENT REHAB
Facility Name Bbc Graceful Homes
Street 808 N 74th St,
City Scottsdale
State AZ
ZIP 85257
Phone 6026268112

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This page was last updated on: 5/19/2019