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Miss A's Llc
Mental Illness Community Based Residential Treatment Facility in Peoria, Arizona
NPI 1447795992

Miss A's Llc is a Mental Illness Community Based Residential Treatment Facility based in Glendale, AZ. Miss A's Llc practices in Peoria, AZ. The NPI Number for Miss A's Llc is 1447795992 and holds a License No. BH5029 (Arizona).

The current practice location address for Miss A's Llc is 8606 N 68Th Ln, Peoria, AZ and can be reached out via phone at 623-234-2475 and via fax at 623-234-2475.

Location: 8606 N 68Th Ln, Peoria, AZ, 85304-2703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447795992
Provider Name
Miss A's Llc
Credential
Provider Entity Type
Organization
Address
8606 N 68Th Ln, Peoria, AZ, 85304-2703
Phone Number
623-234-2475
Fax Number
623-234-2475
Provider Enumeration Date
12/19/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
222757 05 AZ
institution
Provider Business Practice Location Address Details
Address
8606 N 68Th Ln
City
Peoria
State
Arizona
Zip
85345-8451
Phone Number
623-234-2475
Fax Number
623-234-2475
person
Provider Business Mailing Address Details
Address
8606 N 68Th Ln
City
Peoria
State
Arizona
Zip
85345-8451
Phone Number
623-234-2475
Fax Number
623-234-2475
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
BH5029 (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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