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 1821706813

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

3736 S 64th Dr
Phoenix, AZ 85043-0127
Phone: (281) 505-0577
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 number1821706813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Claude Matabaro — Program Director · (281) 505-0577
NPI enumeratedNovember 9, 2022
Last updated in NPPESNovember 9, 2022
Certification dateNovember 6, 2022
Mailing address3736 S 64th Dr, Phoenix, AZ 85043-0127

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