WALLACE'S PLACE
NPI 1649441866
Community/Behavioral Health in Peoria, AZ

Q: What is Wallace's Place's NPI number?

The NPI number for Wallace's Place is 1649441866. It was assigned to this organization in the NPPES registry on March 15, 2008.

Q: What is Wallace's Place's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Wallace's Place was last updated on March 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 15, 2008

9636 W OBERLIN WAY, PEORIA, AZ 85383(623) 203-1148(623) 825-4639 Get Directions Write a Review

NPPES record last updated: March 15, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Wallace's Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE'S PLACE (NPI 1649441866) is a healthcare organization registered as a community/behavioral health in Peoria, Arizona and active in the NPI registry since March 2008. The organization lists Cynthia Lynn Clark, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649441866

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameWALLACE'S PLACE

Location Address9636 W OBERLIN WAYPeoria, AZ 85383-8750

Mailing Address9636 W Oberlin WayPeoria, AZ 85383-8750 · (623) 203-1148 · Fax (623) 825-4639

Phone(623) 203-1148

Fax(623) 825-4639

Organization SubpartNo

Authorized OfficialCynthia Lynn ClarkExecutive Director · (623) 203-1148

Enumeration DateMarch 15, 2008

✔ NPI 1649441866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

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.

9636 W OBERLIN WAY, Peoria, AZ 85383

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Other Identifiers 1

Other304367AZ · Ahcccs

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace's Place's NPI number?

The NPI number for Wallace's Place is 1649441866. It was assigned to this organization in the NPPES registry on March 15, 2008.

Where is Wallace's Place located?

Wallace's Place is located at 9636 W Oberlin Way, Peoria, AZ 85383. The listed phone number is (623) 203-1148.

What is Wallace's Place's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Wallace's Place was last updated on March 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.