Civara Behavioral Health Llc | |
4010 W Cactus Rd Phoenix AZ 85029-2905 | |
(480) 329-9585 | |
(602) 237-5211 |
Full Name | Civara Behavioral Health Llc |
---|---|
Speciality | Psychiatric Residential Treatment Facility |
Location | 4010 W Cactus Rd, Phoenix, Arizona |
Authorized Official Name and Position | Vittelian Forbes (OWNER) |
Authorized Official Contact | 4803299585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Civara Behavioral Health Llc 7020 E Moreland St Scottsdale AZ 85257-3318 Ph: (480) 329-9585 | Civara Behavioral Health Llc 4010 W Cactus Rd Phoenix AZ 85029-2905 Ph: (480) 329-9585 |
NPI Number | 1013524230 |
---|---|
Provider Enumeration Date | 10/01/2020 |
Last Update Date | 11/18/2020 |
Certification Date | 11/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013524230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
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