Provider Demographics
NPI: | 1508454471 |
---|---|
Name: | WE KARE BEHAVIOR |
Entity Type: | Organization |
Organization Name: | WE KARE BEHAVIOR |
Other - Org Name: | WEKARE BEHAVIOR HEALTH LLC |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | NECIO |
Authorized Official - Middle Name: | SHERIE |
Authorized Official - Last Name: | WATSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 602-688-6177 |
Mailing Address - Street 1: | 3130 E ROOSEVELT ST BUILDING C 2ND FLOOR |
Mailing Address - Street 2: | |
Mailing Address - City: | PHOENIX |
Mailing Address - State: | AZ |
Mailing Address - Zip Code: | 85008 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 602-688-6177 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3130 E ROOSEVELT STREET BUILDING C 2ND FLOOR |
Practice Address - Street 2: | |
Practice Address - City: | PHOENIX |
Practice Address - State: | AZ |
Practice Address - Zip Code: | 85008-5036 |
Practice Address - Country: | US |
Practice Address - Phone: | 678-708-6600 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-01-06 |
Last Update Date: | 2022-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |