Wallace's Place, NPI 1649441866
Community/Behavioral Health Agency in Peoria, AZ, US
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 |
Organization Official
| Official Name | MRS. BSN RNC Cynthia Lynn Clark |
| Official Position | EXECUTIVE DIRECTOR |
| Phone | 623-203-1148 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community/Behavioral Health Agency |
| Classification | |
| Group | |
| 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. |
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PA-C Abigail Jane Higgins Individual |
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RN Abbigael Naomi Simpson Individual |
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MD Nicole Marie Casey Individual |
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Julie Ann Roberts Individual |
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MOT OTR/L, BCP, CIMI Victoria Wicus Individual |
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LCSW Taylor Redding Individual |
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Sierra Vista Regional Health Center Medical Group Llc Organization |
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PT Catherine Broadbent Individual |
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