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Baraka House Llc
Mental Illness Community Based Residential Treatment Facility in Peoria, Arizona
NPI 1356780563

Baraka House Llc is a Mental Illness Community Based Residential Treatment Facility based in Phoenix, AZ. Baraka House Llc practices in Peoria, AZ. The NPI Number for Baraka House Llc is 1356780563 and holds a License No. (Arizona).

The current practice location address for Baraka House Llc is 7445 W Cheryl Dr, Peoria, AZ and can be reached out via phone at 623-878-0463 and via fax at 623-878-0463.

Location: 7445 W Cheryl Dr, Peoria, AZ, 85051-9582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356780563
Provider Name
Baraka House Llc
Credential
Provider Entity Type
Organization
Address
7445 W Cheryl Dr, Peoria, AZ, 85051-9582
Phone Number
623-878-0463
Fax Number
623-878-0463
Provider Enumeration Date
06/20/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH4229 01 AZ BEHAVIORAL HEALTH LICENSE
institution
Provider Business Practice Location Address Details
Address
7445 W Cheryl Dr
City
Peoria
State
Arizona
Zip
85345-6722
Phone Number
623-878-0463
Fax Number
623-878-0463
person
Provider Business Mailing Address Details
Address
7445 W Cheryl Dr
City
Peoria
State
Arizona
Zip
85345-6722
Phone Number
623-878-0463
Fax Number
623-878-0463
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
BH4229 (Arizona)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 2
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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Mental Illness Community Based Residential Treatment Facility
7445 W Cheryl Dr,
PEORIA, AZ
85345-6722
623-878-0463
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