ALLIANCE BEHAVIORAL CARE LLC NPI 1144786799

NPI Information

ALLIANCE BEHAVIORAL CARE LLC is a community based residential treatment facility mental illness in Goodyear, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. ALLIANCE BEHAVIORAL CARE LLC NPI is 1144786799. The provider is registered as an organization entity type.

The provider's business location address is:

16781 W HILTON AVE
GOODYEAR, AZ
ZIP 85338-402
Phone: (225) 802-1717
Fax: (480) 840-1613

The provider's authorized official is Robert Crawford Breedlove .
The authorized official title is Ceo and has the following contact phone number (225) 802-1717.

The CLIA number assigned to this NPI record is 03D2017953 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2019 and was last updated on 2/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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