Organization Name: | RED MOUNTAIN BEHAVIORAL HEALTH |
NPI Number: | 1912327354 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARAH RUANE (CEO) |
Mailing Address: | 9331 E Onza Ave Mesa |
State: | AZ US |
Postal Code: | 852121426 |
Phone Number: | 4806419552 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2014 |
NPI Last Update Date: | 04/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | BH4458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |