Provider Demographics
NPI:1134651623
Name:CARING FOR ARIZONA, INC
Entity Type:Organization
Organization Name:CARING FOR ARIZONA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NYREE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-222-1399
Mailing Address - Street 1:7305 RIVER VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-7860
Mailing Address - Country:US
Mailing Address - Phone:980-333-3247
Mailing Address - Fax:
Practice Address - Street 1:6802 N 47TH AVE STE 5
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-3599
Practice Address - Country:US
Practice Address - Phone:980-333-3247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCSLG8170251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health