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Fortitude 611 Llc
Mental Illness Community Based Residential Treatment Facility in Queen Creek, Arizona
NPI 1003504390

Fortitude 611 Llc is a Mental Illness Community Based Residential Treatment Facility based in Queen Creek, AZ. Fortitude 611 Llc practices in Queen Creek, AZ. The NPI Number for Fortitude 611 Llc is 1003504390 and holds a License No. (Arizona).

The current practice location address for Fortitude 611 Llc is 25062 S 190Th St, Queen Creek, AZ and can be reached out via phone at 480-329-0707.

Location: 25062 S 190Th St, Queen Creek, AZ, 85142-5668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003504390
Provider Name
Fortitude 611 Llc
Credential
Provider Entity Type
Organization
Address
25062 S 190Th St, Queen Creek, AZ, 85142-5668
Phone Number
480-329-0707
Fax Number
Provider Enumeration Date
04/25/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
25062 S 190Th St
City
Queen Creek
State
Arizona
Zip
85142-5668
Phone Number
480-329-0707
Fax Number
person
Provider Business Mailing Address Details
Address
25062 S 190Th St
City
Queen Creek
State
Arizona
Zip
85142-5668
Phone Number
480-329-0707
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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