Affinity Behavioral Care, LLC
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Goodyear, AZ
NPI 1508423161 · NPPES record last updated May 20, 2019
Key facts
- NPI
- 1508423161
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- AFFINITY BEHAVIORAL CARE, LLC
- Practice address
- 16575 W Roosevelt St
Goodyear, AZ 85338-6192 - Phone
- (623) 594-9064
- NPI assigned
- May 20, 2019
- Organization subpart
- No
Authorized official
- Name
- Crawford Breedlove
- Title
- Authorized Official
- Phone
- (480) 840-1601
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Affinity Behavioral Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
16575 W Roosevelt St
Goodyear, AZ 85338-6192
Mailing address
5115 N Dysart Rd # 437
Litchfield Park, AZ 85340-3032
Phone (480) 840-1601
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All providers in Goodyear, AZ · Mental Illness Community Based Residential Treatment Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.