OrganizationActive
Civara Behavioral Health LLC
NPI 1013524230 · Psychiatric Residential Treatment Facility · Phoenix, AZ
Provider details
- NPI number
- 1013524230
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Vittelian Forbes, Owner(480) 329-9585
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
4010 W Cactus Rd
Phoenix, AZ 85029-2905
Phone: (480) 329-9585
Fax: (602) 237-5211
Approximate (ZIP-level) locationGet directions
Mailing address
7020 E Moreland St
Scottsdale, AZ 85257-3318
Registry dates
- Enumerated
- 2020-10-01
- Last updated
- 2020-11-18
- Certified
- 2020-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.