- Practice location
- 3437 W Acoma Dr, Phoenix, AZ 85053-5620
- Phone
- 602-888-6779
- Fax
- —
- Last updated
- September 17, 2020
Acoma Behavioral Health LLC is a healthcare organization based in Phoenix, AZ. Acoma Behavioral Health LLC practices in Phoenix, AZ. The NPI Number for Acoma Behavioral Health LLC is 1972119733. The current practice location address for Acoma Behavioral Health LLC is 3437 W Acoma Dr, Phoenix, AZ 85053-5620 and can be reached out via phone at 602-888-6779.
Provider Profile Details
- NPI Number
- 1972119733
- Provider Name
- Acoma Behavioral Health LLC
- Provider Entity Type
- Organization
- Address
- 3437 W Acoma Dr, Phoenix, AZ 85053-5620
- Phone Number
- 602-888-6779
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Rwabuneza Violet Mustari · Ceo · 949-449-4140
- Provider Enumeration Date
- September 17, 2020
- Last Update Date
- September 17, 2020
- Certification Date
- September 17, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3437 W Acoma Dr
Phoenix, AZ 85053-5620 - City
- Phoenix
- State
- Arizona
- Zip
- 85053-5620
- Phone Number
- 602-888-6779
Provider Business Mailing Address Details
- Address
- 3437 W Acoma Dr
Phoenix, AZ 85053-5620 - City
- Phoenix
- State
- AZ
- Zip
- 85053-5620
- Phone Number
- 602-888-6779
License Information
- Taxonomy (1)
- Substance Abuse Rehabilitation Facility · 324500000X
- Taxonomy (2)
- Case Management · 251B00000X
- Taxonomy (3)
- Assisted Living Facility, Assisted Living, Mental Illness · 3104A0625X
- Taxonomy (4)
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- Taxonomy (5)
- Community Based Residential Treatment Facility, Mental Illness · 320800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Acoma Behavioral Health LLC?
The NPI number of Acoma Behavioral Health LLC is 1972119733. It was assigned on September 17, 2020 and is currently active in the NPPES registry.
What is the specialty of Acoma Behavioral Health LLC?
Acoma Behavioral Health LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does Acoma Behavioral Health LLC practice?
The practice location is 3437 W Acoma Dr, Phoenix, AZ 85053-5620. The office can be reached at 602-888-6779 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972119733 directly on the NPPES registry website.