Healthcare Provider Details

I. General information

NPI: 1063229755
Provider Name (Legal Business Name): ALMA BH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21388 N 106TH LN
PEORIA AZ
85382-0522
US

IV. Provider business mailing address

21388 N 106TH LN
PEORIA AZ
85382-0522
US

V. Phone/Fax

Practice location:
  • Phone: 480-590-6202
  • Fax:
Mailing address:
  • Phone: 480-590-6202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ELENA C ERGHELEGIU
Title or Position: OWNER
Credential:
Phone: 480-590-6202