Moses Behavioral Care

LBN: Moses Behavioral Care
Moses Behavioral Care is an health care organization with primary practice located at 17622 W Port Royale Ln , Surprise AZ 85379. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Moses Behavioral Care can be contacted via phone (480) 286-3366, or through Agboola, Elizabeth via phone (480) 589-6692.

Contact Information

Primary practice address
17622 W Port Royale Ln Surprise AZ 85379
Phone: (480) 286-3366
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Agboola, Elizabeth
Phone: (480) 589-6692

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH4520 Arizona

Profile Details

NPI number 1255725248
LBN Legal business name Moses Behavioral Care
DBA Doing business as
Authorized official Agboola, Elizabeth
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2015
Last updated Jul 10th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255725248 NPPES
Arizona MEDICAID 986532

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