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Cactus Sage Llc
Mental Illness Community Based Residential Treatment Facility in Laveen, Arizona
NPI 1336881911

Cactus Sage Llc is a Mental Illness Community Based Residential Treatment Facility based in Phoenix, AZ. Cactus Sage Llc practices in Laveen, AZ. The NPI Number for Cactus Sage Llc is 1336881911 and holds a License No. (Arizona).

The current practice location address for Cactus Sage Llc is 6522 W Latona Rd, Laveen, AZ and can be reached out via phone at 623-225-1240.

Location: 6522 W Latona Rd, Laveen, AZ, 85042-6207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336881911
Provider Name
Cactus Sage Llc
Credential
Provider Entity Type
Organization
Address
6522 W Latona Rd, Laveen, AZ, 85042-6207
Phone Number
623-225-1240
Fax Number
Provider Enumeration Date
04/12/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH7542 01 AZ AZ DEPARTMENT OF HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
6522 W Latona Rd
City
Laveen
State
Arizona
Zip
85339-3083
Phone Number
623-225-1240
Fax Number
person
Provider Business Mailing Address Details
Address
6522 W Latona Rd
City
Laveen
State
Arizona
Zip
85339-3083
Phone Number
623-225-1240
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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