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145th Lane
Mental Illness Community Based Residential Treatment Facility in Surprise, Arizona
NPI 1083876825

145th Lane is a Mental Illness Community Based Residential Treatment Facility based in Surprise, AZ. 145th Lane practices in Surprise, AZ. The NPI Number for 145th Lane is 1083876825 and holds a License No. BH - 3107 (Arizona).

The current practice location address for 145th Lane is 15266 N 145Th Ln, Surprise, AZ and can be reached out via phone at 602-441-2691.

Location: 15266 N 145Th Ln, Surprise, AZ, 85379-8519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083876825
Provider Name
145th Lane
Credential
Provider Entity Type
Organization
Address
15266 N 145Th Ln, Surprise, AZ, 85379-8519
Phone Number
602-441-2691
Fax Number
Provider Enumeration Date
07/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15266 N 145Th Ln
City
Surprise
State
Arizona
Zip
85379-8519
Phone Number
602-441-2691
Fax Number
person
Provider Business Mailing Address Details
Address
15266 N 145Th Ln
City
Surprise
State
Arizona
Zip
85379-8519
Phone Number
602-441-2691
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
BH - 3107 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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