OrganizationActive
Moses Behavioral Care
NPI 1447658943 · Physical Disabilities Residential Treatment Facility · Surprise, AZ
Provider details
- NPI number
- 1447658943
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Steve Agboola, Administrator(480) 589-6692
- License
- BH4520 (AZ)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
17622 W Port Royale Ln
Surprise, AZ 85388-7792
Phone: (480) 286-3366
Approximate (ZIP-level) locationGet directions
Mailing address
17622 W Port Royale Ln
Surprise, AZ 85388-7792
Registry dates
- Enumerated
- 2014-12-15
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.