MATA RESIDENTIAL CARE
NPI 1356097810
Community/Behavioral Health in Phoenix, AZ
- Organization
- Community/Behavioral Health
About MATA RESIDENTIAL CARE
This page provides the complete NPI Profile along with additional information for Mata Residential Care, a provider established in Phoenix, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1356097810 assigned on February 2022. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jean Claude Matabaro (Program Director)
- NPI
- 1356097810 Verify this NPI
- Provider Name
- MATA RESIDENTIAL CARE
- Entity Type
- Organization
- Location Address
- 3809 S 64TH LN PHOENIX, AZ 85043
- Location Phone
- (602) 549-1661
- Location Fax
- (833) 467-1001
- Mailing Address
- 3809 S 64TH LN PHOENIX, AZ 85043
- Mailing Phone
- (602) 549-1661
- Mailing Fax
- (833) 467-1001
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2022
- Last Update Date
- 02-23-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356097810, enumerated as an "organization" on February 23, 2022.
The provider is located at 3809 S 64TH LN PHOENIX, AZ 85043 and the phone number is (602) 549-1661.
Community/Behavioral Health with taxonomy code 251S00000X.
