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Big John Group Home
Emotionally Disturbed Childrens' Residential Treatment Facility in El Mirage, Arizona
NPI 1255484366

Big John Group Home is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Gilbert, AZ. Big John Group Home practices in El Mirage, AZ. The NPI Number for Big John Group Home is 1255484366 and holds a License No. 723636 (Arizona).

The current practice location address for Big John Group Home is 12514 N 126Th Ln, El Mirage, AZ and can be reached out via phone at 480-202-2972 and via fax at 623-546-0161.

Location: 12514 N 126Th Ln, El Mirage, AZ, 85296-1375
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255484366
Provider Name
Big John Group Home
Credential
Provider Entity Type
Organization
Address
12514 N 126Th Ln, El Mirage, AZ, 85296-1375
Phone Number
480-202-2972
Fax Number
623-546-0161
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12514 N 126Th Ln
City
El Mirage
State
Arizona
Zip
85335-5206
Phone Number
480-202-2972
Fax Number
623-546-0161
person
Provider Business Mailing Address Details
Address
12514 N 126Th Ln
City
El Mirage
State
Arizona
Zip
85335-5206
Phone Number
480-202-2972
Fax Number
623-546-0161
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
723636 (Arizona)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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