| NPI | 1689246795 |
|---|---|
| Doing Business As | ARK OF ANGEL BEHAVIORAL HOME |
| Entity Type | Organization |
| Authorized Contact | RANDY MALLARI Clinical Director Cnl 602-888-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-16 |