institution
Divine Grace Residential Care Llc
Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona
NPI 1366148421

Divine Grace Residential Care Llc is a Mental Illness Community Based Residential Treatment Facility based in Avondale, AZ. Divine Grace Residential Care Llc practices in Phoenix, AZ. The NPI Number for Divine Grace Residential Care Llc is 1366148421 and holds a License No. (Arizona).

The current practice location address for Divine Grace Residential Care Llc is 4120 N 105Th Ln, Phoenix, AZ and can be reached out via phone at 623-272-0428.

Location: 4120 N 105Th Ln, Phoenix, AZ, 85323-2777
institution
Provider Profile Details
NPI Number
1366148421
Provider Name
Divine Grace Residential Care Llc
Credential
Provider Entity Type
Organization
Address
4120 N 105Th Ln, Phoenix, AZ, 85323-2777
Phone Number
623-272-0428
Fax Number
Provider Enumeration Date
02/01/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4120 N 105Th Ln
City
State
Zip
85037-5843
Phone Number
623-272-0428
Fax Number
person
Provider Business Mailing Address Details
Address
4120 N 105Th Ln
City
State
Zip
85037-5843
Phone Number
623-272-0428
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
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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