institution
Baraka House Llc
Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona
NPI 1396145694

Baraka House Llc is a Mental Illness Community Based Residential Treatment Facility based in Phoenix, AZ. Baraka House Llc practices in Phoenix, AZ. The NPI Number for Baraka House Llc is 1396145694 and holds a License No. (Arizona).

The current practice location address for Baraka House Llc is 3302 W Mescal St, Phoenix, AZ and can be reached out via phone at 602-595-7871.

Location: 3302 W Mescal St, Phoenix, AZ, 85051-9582
institution
Provider Profile Details
NPI Number
1396145694
Provider Name
Baraka House Llc
Credential
Provider Entity Type
Organization
Address
3302 W Mescal St, Phoenix, AZ, 85051-9582
Phone Number
602-595-7871
Fax Number
Provider Enumeration Date
08/25/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH4472 01 AZ ADHS
institution
Provider Business Practice Location Address Details
Address
3302 W Mescal St
City
State
Zip
85029-4114
Phone Number
602-595-7871
Fax Number
person
Provider Business Mailing Address Details
Address
3302 W Mescal St
City
State
Zip
85029-4114
Phone Number
602-595-7871
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
License No.
BH4472 (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
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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