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Archaic Lifestyle, Inc.
Mental Illness Community Based Residential Treatment Facility in Maricopa, Arizona
NPI 1376230896

Archaic Lifestyle, Inc. is a Mental Illness Community Based Residential Treatment Facility based in Maricopa, AZ. Archaic Lifestyle, Inc. practices in Maricopa, AZ. The NPI Number for Archaic Lifestyle, Inc. is 1376230896 and holds a License No. (Arizona).

The current practice location address for Archaic Lifestyle, Inc. is 41768 W Barcelona Dr, Maricopa, AZ and can be reached out via phone at 562-506-3974.

Location: 41768 W Barcelona Dr, Maricopa, AZ, 85138-4445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376230896
Provider Name
Archaic Lifestyle, Inc.
Credential
Provider Entity Type
Organization
Address
41768 W Barcelona Dr, Maricopa, AZ, 85138-4445
Phone Number
562-506-3974
Fax Number
Provider Enumeration Date
04/24/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
41768 W Barcelona Dr
City
Maricopa
State
Arizona
Zip
85138-4445
Phone Number
562-506-3974
Fax Number
person
Provider Business Mailing Address Details
Address
41768 W Barcelona Dr
City
Maricopa
State
Arizona
Zip
85138-4445
Phone Number
562-506-3974
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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