OrganizationActive
Arizona Alternative Support, LLC
NPI 1265050876 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Maricopa, AZ
Provider details
- NPI number
- 1265050876
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Irene Mulondo, Administrator(774) 253-7365
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
36379 W El Greco St
Maricopa, AZ 85138-5323
Phone: (774) 253-7365
Approximate (ZIP-level) locationGet directions
Mailing address
621 S Wayne Dr
Chandler, AZ 85225-2817
Registry dates
- Enumerated
- 2020-07-09
- Last updated
- 2020-07-09
- Certified
- 2020-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.