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Bridge Residential Home Llc
Psychiatric/Mental Health Nurse Practitioner in Laveen, Arizona
NPI 1114781945

Bridge Residential Home Llc is a Psychiatric/Mental Health Nurse Practitioner based in Phoenix, AZ and is specialized in Psychiatric/Mental Health. Bridge Residential Home Llc practices in Laveen, AZ. The NPI Number for Bridge Residential Home Llc is 1114781945 and holds a License No. (Arizona).

The current practice location address for Bridge Residential Home Llc is 7343 W Maldonado Rd, Laveen, AZ and can be reached out via phone at 602-354-9252.

Location: 7343 W Maldonado Rd, Laveen, AZ, 85076-1382
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114781945
Provider Name
Bridge Residential Home Llc
Credential
Provider Entity Type
Organization
Address
7343 W Maldonado Rd, Laveen, AZ, 85076-1382
Phone Number
602-354-9252
Fax Number
Provider Enumeration Date
02/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
7343 W Maldonado Rd
City
Laveen
State
Arizona
Zip
85339-7001
Phone Number
602-354-9252
Fax Number
person
Provider Business Mailing Address Details
Address
7343 W Maldonado Rd
City
Laveen
State
Arizona
Zip
85339-7001
Phone Number
602-354-9252
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
103TB0200X
License No.
()
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
()
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
323P00000X
License No.
()
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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