Ibatl, LLC
NPI #1417747635 in Huachuca City, Arizona
Provider Information
- NPI Number
- 1417747635
- Entity Type
- Organization
- Organization Name
- Ibatl, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- May 9, 2025
- Last Updated
- May 9, 2025
Practice Location
- Address
- 3333 N IN BALANCE ROAD
- Address 2
- BUILDING 1&2
- City
- Huachuca City
- State
- Arizona
- ZIP Code
- 85616
- Phone
- (207) 505-0143
Authorized Official
- Name
- ANTHONY BARRASSO
- Title
- COO
- Phone
- (520) 722-9631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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