institution
Tyerra Manor, Llc Residential Agency
Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona
NPI 1164673760

Tyerra Manor, Llc Residential Agency is a Mental Illness Community Based Residential Treatment Facility based in Phoenix, AZ. Tyerra Manor, Llc Residential Agency practices in Phoenix, AZ. The NPI Number for Tyerra Manor, Llc Residential Agency is 1164673760 and holds a License No. BH-3122 (Arizona).

The current practice location address for Tyerra Manor, Llc Residential Agency is 1533 E Sunland Ave, Phoenix, AZ and can be reached out via phone at 602-268-2538 and via fax at 602-268-2538.

Location: 1533 E Sunland Ave, Phoenix, AZ, 85040-3269
institution
Provider Profile Details
NPI Number
1164673760
Provider Name
Tyerra Manor, Llc Residential Agency
Credential
Provider Entity Type
Organization
Address
1533 E Sunland Ave, Phoenix, AZ, 85040-3269
Phone Number
602-268-2538
Fax Number
602-268-2538
Provider Enumeration Date
10/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1533 E Sunland Ave
City
State
Zip
85040-3269
Phone Number
602-268-2538
Fax Number
602-268-2538
person
Provider Business Mailing Address Details
Address
1533 E Sunland Ave
City
State
Zip
85040-3269
Phone Number
602-268-2538
Fax Number
602-268-2538
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
BH-3122 (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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