Provider Demographics
NPI:1932609948
Name:SILVER LINING BEHAVIORAL HEALTH CARE HOMES
Entity Type:Organization
Organization Name:SILVER LINING BEHAVIORAL HEALTH CARE HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-634-4446
Mailing Address - Street 1:552 S SUNWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-3223
Mailing Address - Country:US
Mailing Address - Phone:480-634-4446
Mailing Address - Fax:480-634-4665
Practice Address - Street 1:552 S SUNWOOD CIR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-3223
Practice Address - Country:US
Practice Address - Phone:480-634-4446
Practice Address - Fax:480-634-4665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility