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Ebenezer House 1 Llc
Mental Illness Community Based Residential Treatment Facility in Queen Creek, Arizona
NPI 1144928920

Ebenezer House 1 Llc is a Mental Illness Community Based Residential Treatment Facility based in Queen Creek, AZ. Ebenezer House 1 Llc practices in Queen Creek, AZ. The NPI Number for Ebenezer House 1 Llc is 1144928920 and holds a License No. (Arizona).

The current practice location address for Ebenezer House 1 Llc is 35168 N Magnette Way, Queen Creek, AZ and can be reached out via phone at 602-609-8966. You can also correspond with Ebenezer House 1 Llc through the mailing address at 35168 N MAGNETTE WAY, QUEEN CREEK, AZ - 85142-3916 (mailing address contact number: 602-609-8966).

Location: 35168 N Magnette Way, Queen Creek, AZ, 85142-3916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144928920
Provider Name
Ebenezer House 1 Llc
Credential
Provider Entity Type
Organization
Address
35168 N Magnette Way, Queen Creek, AZ, 85142-3916
Phone Number
602-609-8966
Fax Number
Provider Enumeration Date
02/21/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
35168 N Magnette Way
City
Queen Creek
State
Arizona
Zip
85142-3916
Phone Number
602-609-8966
Fax Number
person
Provider Business Mailing Address Details
Address
35168 N Magnette Way
City
Queen Creek
State
Arizona
Zip
85142-3916
Phone Number
602-609-8966
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.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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