institution
Legacy Village Of East Mesa
Mental Illness Community Based Residential Treatment Facility in Mesa, Arizona
NPI 1437377207

Legacy Village Of East Mesa is a Mental Illness Community Based Residential Treatment Facility based in Mesa, AZ. Legacy Village Of East Mesa practices in Mesa, AZ. The NPI Number for Legacy Village Of East Mesa is 1437377207 and holds a License No. ALC5776 (Arizona).

The current practice location address for Legacy Village Of East Mesa is 5037 E. Broadway, Mesa, AZ and can be reached out via phone at 480-924-4073 and via fax at 480-396-0191. You can also correspond with Legacy Village Of East Mesa through the mailing address at 5037 E BROADWAY RD, MESA, AZ - 85206-1301 (mailing address contact number: 480-924-4073).

Location: 5037 E. Broadway, Mesa, AZ, 85206-1301
institution
Provider Profile Details
NPI Number
1437377207
Provider Name
Legacy Village Of East Mesa
Credential
Provider Entity Type
Organization
Address
5037 E. Broadway, Mesa, AZ, 85206-1301
Phone Number
480-924-4073
Fax Number
480-396-0191
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5037 E. Broadway
City
State
Zip
85206
Phone Number
480-924-4073
Fax Number
480-396-0191
person
Provider Business Mailing Address Details
Address
5037 E Broadway Rd
City
State
Zip
85206-1301
Phone Number
480-924-4073
Fax Number
480-396-0191
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
ALC5776 (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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