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Wallace's Place
Community/Behavioral Health Agency in Peoria, Arizona
NPI 1649441866

Wallace's Place is a Community/Behavioral Health Agency based in Peoria, AZ. Wallace's Place practices in Peoria, AZ. The NPI Number for Wallace's Place is 1649441866 and holds a License No. (Arizona).

The current practice location address for Wallace's Place is 9636 W Oberlin Way, Peoria, AZ and can be reached out via phone at 623-203-1148 and via fax at 623-825-4639.

Location: 9636 W Oberlin Way, Peoria, AZ, 85383-8750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649441866
Provider Name
Wallace's Place
Credential
Provider Entity Type
Organization
Address
9636 W Oberlin Way, Peoria, AZ, 85383-8750
Phone Number
623-203-1148
Fax Number
623-825-4639
Provider Enumeration Date
03/15/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
304367 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
9636 W Oberlin Way
City
Peoria
State
Arizona
Zip
85383-8750
Phone Number
623-203-1148
Fax Number
623-825-4639
person
Provider Business Mailing Address Details
Address
9636 W Oberlin Way
City
Peoria
State
Arizona
Zip
85383-8750
Phone Number
623-203-1148
Fax Number
623-825-4639
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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