Organization · Type 2 NPI

Wallace's Place

Community/Behavioral Health Agency · Peoria, AZ

NPI number 1649441866 Active

Practice location

9636 W Oberlin Way
Peoria, AZ 85383-8750

Fax (623) 825-4639

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: 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 suppo…

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About NPI 1649441866

Wallace's Place's National Provider Identifier is 1649441866, issued on Mar 15, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Peoria, AZ. The record was last updated on Mar 15, 2008.