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Good Samaritan Group Home Llc
Mental Illness Community Based Residential Treatment Facility in Litchfield Park, Arizona
NPI 1205527579

Good Samaritan Group Home Llc is a Mental Illness Community Based Residential Treatment Facility based in Litchfield Park, AZ. Good Samaritan Group Home Llc practices in Litchfield Park, AZ. The NPI Number for Good Samaritan Group Home Llc is 1205527579 and holds a License No. (Arizona).

The current practice location address for Good Samaritan Group Home Llc is 12332 W San Juan Ave, Litchfield Park, AZ and can be reached out via phone at 480-300-1698.

Location: 12332 W San Juan Ave, Litchfield Park, AZ, 85340-3445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205527579
Provider Name
Good Samaritan Group Home Llc
Credential
Provider Entity Type
Organization
Address
12332 W San Juan Ave, Litchfield Park, AZ, 85340-3445
Phone Number
480-300-1698
Fax Number
Provider Enumeration Date
05/17/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12332 W San Juan Ave
City
Litchfield Park
State
Arizona
Zip
85340-3445
Phone Number
480-300-1698
Fax Number
person
Provider Business Mailing Address Details
Address
12332 W San Juan Ave
City
Litchfield Park
State
Arizona
Zip
85340-3445
Phone Number
480-300-1698
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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