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Charles Residential Care Llc
Substance Abuse Rehabilitation Facility in Goodyear, Arizona
NPI 1245602044

Charles Residential Care Llc is a Substance Abuse Rehabilitation Facility based in Goodyear, AZ. Charles Residential Care Llc practices in Goodyear, AZ. The NPI Number for Charles Residential Care Llc is 1245602044 and holds a License No. BH4681 (Arizona).

The current practice location address for Charles Residential Care Llc is 15813 W Monroe St, Goodyear, AZ and can be reached out via phone at 623-882-1294. You can also correspond with Charles Residential Care Llc through the mailing address at 15561 W DEVONSHIRE AVE, GOODYEAR, AZ - 85395-7772 (mailing address contact number: 623-882-1294).

Location: 15813 W Monroe St, Goodyear, AZ, 85395-7772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245602044
Provider Name
Charles Residential Care Llc
Credential
Provider Entity Type
Organization
Address
15813 W Monroe St, Goodyear, AZ, 85395-7772
Phone Number
623-882-1294
Fax Number
Provider Enumeration Date
10/20/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
15813 W Monroe St
City
Goodyear
State
Arizona
Zip
85338-6896
Phone Number
623-882-1294
Fax Number
person
Provider Business Mailing Address Details
Address
15813 W Monroe St
City
Goodyear
State
Arizona
Zip
85338-6896
Phone Number
623-882-1294
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.
BH4681 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
BH4681 (Arizona)
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.
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