Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mata Residential Care

Organization Community/Behavioral Health Agency · NPI 1356097810

Mata Residential Care is a Community/Behavioral Health Agency in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3809 S 64th Ln
Phoenix, AZ 85043-0131
Phone: (602) 549-1661
Fax: (833) 467-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1356097810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Claude Matabaro — Program Director · (602) 549-1661
NPI enumeratedFebruary 23, 2022
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address3809 S 64th Ln, Phoenix, AZ 85043-0131

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