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Tri-phase Group Home Inc
Children's Substance Abuse Rehabilitation Facility in Gilbert, Arizona
NPI 1396914735

Tri-phase Group Home Inc is a Children's Substance Abuse Rehabilitation Facility based in Goodyear, AZ and is specialized in Substance Abuse Treatment, Children. Tri-phase Group Home Inc practices in Gilbert, AZ. The NPI Number for Tri-phase Group Home Inc is 1396914735 and holds a License No. BH-1914 (Arizona).

The current practice location address for Tri-phase Group Home Inc is 1575 E Betsy Ln Unit D, Gilbert, AZ and can be reached out via phone at 623-474-6326 and via fax at 623-474-6516.

Location: 1575 E Betsy Ln Unit D, Gilbert, AZ, 85338-5081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396914735
Provider Name
Tri-phase Group Home Inc
Credential
Provider Entity Type
Organization
Address
1575 E Betsy Ln Unit D, Gilbert, AZ, 85338-5081
Phone Number
623-474-6326
Fax Number
623-474-6516
Provider Enumeration Date
02/28/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
873770 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
1575 E Betsy Ln Unit D
City
Gilbert
State
Arizona
Zip
85296-3759
Phone Number
623-474-6326
Fax Number
623-474-6516
person
Provider Business Mailing Address Details
Address
1575 E Betsy Ln Unit D
City
Gilbert
State
Arizona
Zip
85296-3759
Phone Number
623-474-6326
Fax Number
623-474-6516
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
BH-1914 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
BH-1914 (Arizona)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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