Agave Residential Care Home, Llc - Laveen, AZ

Agave Residential Care Home, Llc

Mental Illness Community Based Residential Treatment Facility in Laveen, Arizona

NPI 1376058065

Agave Residential Care Home, Llc is a Mental Illness Community Based Residential Treatment Facility based in Chandler, AZ. Agave Residential Care Home, Llc practices in Laveen, AZ. The NPI Number for Agave Residential Care Home, Llc is 1376058065 and holds a License No. BH301 (Arizona).

The current practice location address for Agave Residential Care Home, Llc is 5628 W Glass Ln, Laveen, AZ and can be reached out via phone at 602-802-9655.

Location: 5628 W Glass Ln, Laveen, AZ, 85224-1301

NPI Number

1376058065

Provider Name

Agave Residential Care Home, Llc

Credential

Provider Entity Type

Organization

Address

5628 W Glass Ln, Laveen, AZ, 85224-1301

Phone Number

602-802-9655

Fax Number

Provider Enumeration Date

12/05/2017

Last Update Date

03/10/2024

Address

5628 W Glass Ln

City

Laveen

State

Arizona

Zip

85339-2278

Phone Number

602-802-9655

Fax Number

Address

5628 W Glass Ln

City

Laveen

State

Arizona

Zip

85339-2278

Phone Number

602-802-9655

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

BH301 (Arizona)

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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