OrganizationActive
Associate Community Enterprise
NPI 1174102313 · Assisted Living Facility (Behavioral Disturbances) · Phoenix, AZ
Provider details
- NPI number
- 1174102313
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Evans, Ceo(480) 238-2047
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
8155 N 24th Ave Ste B
Phoenix, AZ 85021-6883
Phone: (480) 352-9969
Approximate (ZIP-level) locationGet directions
Mailing address
8155 N 24th Ave Ste B
Phoenix, AZ 85021-6883
Other names (DBA / former)
- Other name
- Future Forward Behavioral Health Home
Registry dates
- Enumerated
- 2021-04-05
- Last updated
- 2021-04-10
- Certified
- 2021-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.