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

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1649441866
NPI Entity Type Organization
Provider Name Wallace's Place
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 9636 W Oberlin Way, Peoria, AZ, US
Provider Mailing Address 9636 W Oberlin Way, Peoria, AZ, US, 853838750
Is Sole Proprietor? No
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Organization Official

Official Name MRS. BSN RNC Cynthia Lynn Clark
Official Position EXECUTIVE DIRECTOR
Phone 623-203-1148

Primary Taxonomy

Taxonomy Code

251S00000X

Taxonomy Name Community/Behavioral Health Agency
Classification

Community/Behavioral Health

Group

Agencies

Description 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.

Business Address

Wallace's Place
9636 W Oberlin Way

Peoria, AZ, US

Phone: 623-203-1148
Fax: 623-825-4639

Mailing Address

Wallace's Place
9636 W Oberlin Way
Peoria, AZ, US
ZIP 853838750
Phone: 623-203-1148
Fax: 623-825-4639

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