| Pelagio Behavioral Health, Llc | |
|
35970 W Merced St Maricopa AZ 85138-2195 | |
| (602) 516-4184 | |
| Not Available |
| Full Name | Pelagio Behavioral Health, Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 35970 W Merced St, Maricopa, Arizona |
| Authorized Official Name and Position | Maria Lourdes Pelagio (ADMINISTRATOR) |
| Authorized Official Contact | 6025164184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelagio Behavioral Health, Llc 35970 W Merced St Maricopa AZ 85138-2195 Ph: (602) 516-4184 | Pelagio Behavioral Health, Llc 35970 W Merced St Maricopa AZ 85138-2195 Ph: (602) 516-4184 |
| NPI Number | 1558123869 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558123869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
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