| NPI | 1295965531 |
|---|---|
| Doing Business As | GLENEAGLE RESIDENTIAL CARE & ADULT DAY TREATMENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | EVELYN WILLLLIAMS Clinical Director 480-751-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ BH-3215) |
| Additional Taxonomies | 251C00000X (Licence: AZ BH-3215) |
| 251S00000X Community/Behavioral Health (Licence: AZ BH-3215) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ BH-3215) | |
| 261QM2800X Clinic/Center, Methadone Clinic (Licence: AZ BBh-3215) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ BH-3215) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AZ BH-3215) | |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: AZ BH-3215) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3215) | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: AZ BH-3215) | |
| 347C00000X Private Vehicle (Licence: AZ BH-3215) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |